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Annapoorna
Acuity Search Solutions - New York City, NY - David at 513-206-9881 and/or send resumes to: dlutz@acuitymri.com Job Summary and Responsibilities: The Coding Quality Validator is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to insure appropriate reimbursement 1. Reviews DRG assignment for selected Medicare/Medicaid inpatients, HAC, PSI and Healthgrade target diagnoses for the purpose of reimbursement, research and statistics in compliance with federal regulations... according to ICD-9, ICD-10 and CPT-4 coding classification systems. 2. Analyzes physician documentation in the medical record for clinical correlation for coding accuracy and queries physicians when code assignments are not straightforward or documentation in the medical record is inadequate, ambiguous, or unclear for coding purposes. 3. Provides guidance on any changes made during their review to the Inpatient Coders by furnishing input as necessary in addition to education regarding applicable coding...
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