Responsibilities
Serve as a liaison with product management and engineering to provide inputs into product model development. Leverage 3+ years of acute HIM inpatient medical coding experience to support the development of AI models that a) extract ICD-10-CM and ICD-10-PCS codes from clinical documents; and b) generate MS-DRGs for payment. Collect, input, verify, correct, and analyze data to measure key performance indicator actual versus business objectives.

 

Qualifications

3+ years hands on experience acute HIM inpatient medical coder in the hospital setting Must know what to look for in extracting ICD-10 CM and ICD-10 PCS codes Understand what supporting evidences are needed Utilized grouper software for multiple years Interacted with billing department on the issues of coding related to billing Up to date on current ICD-10-CM and ICD-10-PCS coding guidelines Experience with 3M 360 or Optum HIM encoder AHIMA Certified RHIA or RHIT credentials Associate’s or Bachelor's degree in Health Information Management (HIM)

 

Leading contributor individually and as a team member. Work is very complex, involving the application of advanced technical/business skills in area of specialization. Ability to collect, organize, and display data in spreadsheet format. Follow-through skills necessary to get information implemented into incremental model development improvements. For this, relationship management skills strongly desired. Strong written and verbal communication skills.

 

 

Career Level - IC3