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Coding Validator Job
Job Number: RIH14382
Job Title: Coding Validator
Department: Coding Health Information Svcs - 1014674
Facility: RIH Telecommuter
Location: Providence, RI
Associate degree in health information technology (preferably with RHIT) and/or successful completion of coding certification program. Understanding of the content of the medical record. Trained in medical terminology, medical science, disease processes anatomy and physiology. Ability to recognize and understand clinical documentation pertinent for coding. Good writing skills to prepare compliant physician queries. Computer literate; capable of researching websites to access regulatory requirements. Ability to navigate the patient electronic medical record. Coding specialist certification required.
Five years coding experience in an acute care facility, at least one year of which must have been at the hospital in order to qualify for consideration for a telecommuting work arrangement. Past quality or coding auditing experience or training in same is preferred.
Reports to Director, Health Information Coding. Ensures accurate coding and data quality, creating consistency and efficiency in inpatient and/or outpatient coding and validation services through ongoing performance of ICD-9-CM and/or current procedural terminology (CPT) coding validation, through the determination and application of accurate Medicare severity diagnosis related group and all patient refined diagnosis related group (MS DRG, APR DRG) as well as outpatient coding as indicated.