DRG Medical Coder - Full-time / Part-time

A growing managed care company located in Tampa, FL is seeking a self-motivated and dynamic professional for a promising opportunity on their staff as a DRG Medical Coder. In this role, the DRG Medical Coder performs post-payment review for Diagnosis Related Group (DRG) validation on inpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10-CM) and Procedural Coding System (ICD-10-PCS) to identify incorrect coding. Apply today!

Managed Care Company

The DRG Medical Coder:

• Reviews and analyzes inpatient hospital medical records using International Classification of Diseases, Tenth Revision (ICD-10-CM) and Procedural Coding System (ICD-10-PCS)
• Follows the Official ICD-10-CM Guidelines for Coding and Reporting and the ICD-10-PCS Official Guidelines for Coding and Reporting
• Identifies coding error (e.g., incorrect primary diagnosis, MCC's, CC's, and procedure codes) and recommends correct coding of medical claims
• Receives, researches, and determines appropriate coding for provider denial appeals from Correspondence, PRT Claims, and the Markets
• Supports claims, configuration, PRT, and/or appeal and grievances teams as necessary
• Performs other duties as assigned

• Certified Coding Specialist (CCS)
• High School or GED
• 2+ years of experience in professional coding experience either in a hospital or physician setting
• Knowledge of medical terminology and/or experience with CPT and ICD-9 coding  
• Working knowledge of CMS Official Guidelines for Coding and Reporting  
• Strong knowledge of medical terminology and abbreviations
• Working knowledge of MUEs, LCDs, and other coding resources from CMS
• Intermediate knowledge of Microsoft Outlook, Excel, Word, and Healthcare Management Systems  

• Healthcare industry experience
• Certified Inpatient Coder - Hospital (CIC)