Medical Coder
Company: Centraprise
Location: Irving
Posted on: February 27, 2026
|
|
|
Job Description:
Job Description ? Under minimal supervision and according to
established policies and procedures, conducts retrospective
inpatient coding quality review audits in compliance with the
coding compliance plan and established standards. Supports the
review activities that drive hospital revenue including revenue
cycle initiatives, internal audit plan, reimbursement audits and
data quality. Key support for the coding areas and staff. Duties
and Responsibilities: Essential Functions: ? Performs coding
quality audits and reports results for accurate ICD-10-CM and
ICD-10-PCS coding of the principal diagnosis, secondary diagnosis,
principal and secondary procedures, present on admission (POA)
indicators, and DRG assignment. ? Identifies missed query
opportunities for complete and accurate revenue within the federal,
state and payer specific regulations and coding policies. ?
Conducts quality review of medical record abstracting and
appropriate discharge disposition selection to ensure revenue
integrity and data quality ? Provides analysis and trending of
coding quality and opportunities; Interprets coding data to
identify quality concerns, trends and root causes related to
denials. ? Ensures compliance with coding standards and government
regulations. ? Maintains knowledge of coding and billing
requirements and regulatory changes. Skills and Abilities Required:
? Analytical ability to gather and interpret data, to evaluate
reports and track progress of initiatives and to determine methods
for ensuring revenue integrity and coding compliance ? High degree
of interpersonal skills to effectively communicate with internal
and external customers, including physicians, clinicians,
management and coding staff ? In-depth technical knowledge of
ICD-10-CM/ICD-10-PCS guidelines/coding clinics, CPT coding
conventions, DRG and APC assignment, medical terminology, anatomy,
and disease processes. ? Proficiency with Microsoft office suite
(Excel, Word, PowerPoint, Outlook). ? Excellent time management
skills; organized; ability to prioritize completing multiple tasks
on schedule in a deadline driven environment. ? Ability to interact
with internal and external customers in a professional manner. ?
Ability to ramp up on a client’s environment, processes, historical
context, and systems to provide support to an engagement as soon as
possible. Education, Experience & Licensure: 2 years previous
experience as an inpatient coding auditor 3 years previous
experience in coding inpatient hospital account
Keywords: Centraprise, Buffalo , Medical Coder, IT / Software / Systems , Irving, New York