Certified Inpatient Clinical Coder

Job Summary

A company is looking for an Inpatient Clinical Coder to ensure accurate claims processing and compliance within the healthcare system.

Key Responsibilities

• Review claims for DRG related issues to drive accurate payments to providers
• Identify overpayments to ensure correct claims payments on inpatient services
• Engage in discussions with MDs to verify clinical rationale behind billed procedures

Required Qualifications

• CCS or CIC certification; required
• Knowledge of DRG pricing methodology; required
• 1-2 years of experience in inpatient clinical coding; preferred
• Experience in Medicare or Medicare Advantage payment integrity or claims operations; preferred
• Strong computer skills in Excel and PowerPoint