Job Details

A company is looking for an Inpatient Clinical Coder to ensure accurate claims processing and compliance within the healthcare system.Key ResponsibilitiesReview claims for DRG related issues to drive accurate payments to providersIdentify overpayments to ensure correct claims payments on inpatient servicesEngage in discussions with MDs to verify clinical rationale behind billed proceduresRequired QualificationsCCS or CIC certification; requiredKnowledge of DRG pricing methodology; required1-2 years of experience in inpatient clinical coding; preferredExperience in Medicare or Medicare Advantage payment integrity or claims operations; preferredStrong computer skills in Excel and PowerPoint