IPDRG Coder or QA

We are seeking a highly skilled IPDRG (Inpatient Prospective Payment System, Diagnosis Related Group) Quality Assurance (QA) OR Coder specialist. The ideal candidate will have in-depth knowledge of IPDRG coding and a keen eye for detail, ensuring the highest level of coding accuracy and compliance in inpatient medical records. This role is essential for maintaining data integrity and optimizing reimbursement processes.

Key Responsibilities

• Conduct comprehensive quality assurance reviews of IPDRG coded inpatient medical records.
• Identify and document discrepancies, errors, and areas for improvement in IPDRG coding.
• Provide constructive feedback and training to coders to enhance their understanding and application of IPDRG guidelines.
• Ensure all coding practices adhere to official coding guidelines, regulatory requirements, and internal policies.
• Collaborate with coding management to develop and implement quality improvement initiatives.
• Stay updated with changes in IPDRG methodologies, coding guidelines, and industry best practices.

Qualifications

• Certification: Must be a certified professional coder.
• Experience: Relevant experience in IPDRG coding and/or auditing.

Skills

• Exceptional attention to detail and analytical skills.
• In-depth knowledge of IPDRG coding guidelines and conventions.
• Strong ability to identify and interpret complex medical documentation.
• Excellent communication and interpersonal skills for feedback and collaboration.
• Proficiency in relevant coding software and electronic health record (EHR) systems.