Centra Health

The Hospital Inpatient Coding Specialist reviews inpatient medical records and assigns International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) diagnosis and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) procedure codes that derives an All Patient Refined Diagnosis Related Group (APR-DRG) or Medical Severity Diagnosis Related Group (MS-DRG) for optimal reimbursement. The Hospital Inpatient Coding Specialist will work in collaboration with the Clinical Documentation Integrity Specialist at times to ensure accuracy consistent with Centra’s coding policies. The Hospital Inpatient Coding Specialist will abstract pertinent information according to established guidelines for the organization and will formulate provider queries to clarify information.

The Hospital Inpatient Coding Specialist reviews inpatient medical records and assigns International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) diagnosis and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) procedure codes that derives an All Patient Refined Diagnosis Related Group (APR-DRG) or Medical Severity Diagnosis Related Group (MS-DRG) for optimal reimbursement. The Hospital Inpatient Coding Specialist will work in collaboration with the Clinical Documentation Integrity Specialist at times to ensure accuracy consistent with Centra’s coding policies. The Hospital Inpatient Coding Specialist will abstract pertinent information according to established guidelines for the organization and will formulate provider queries to clarify information.

The Hospital Outpatient Coder II is responsible for coding Recurring Provider Based Billing (PBB) , Outpatient Diagnostic, Specialty Outpatient Diagnostic, Medical Observation and Emergency Department encounters for the purpose of reimbursement, statistical analysis, and other clinical purposes in compliance with federal, state, and regulatory agencies’ guidelines using the most current International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and Current Procedural Terminology (CPT) classification systems. Performs clinical documentation review, coding, charge entry, and charge review that includes appending modifiers to resolve claim edits. The Hospital Outpateint Coder II will be skilled in coding all services of Hospital Outpatient Coder I and be responsible for coding the following services: , Cardiology, PET Scans, Infusion Therapy, Maternity/Newborn, Radiation Oncology, Recurring PBB locations to includue Hematology/Oncology and Wound Care Center, Respiratory, and Pediatrics, Medical Observation, Emergency Department admits and dispositioned.