What are the responsibilities and job description for the Coding DRG Specialist position at Goshen Health?
Summary
The Coding DRG (Diagnosis-Related Group) Specialist is responsible for accurately assigning DRGs, CPTs, ICD-10-CM codes based on the clinical documentation in patients' medical records. This role ensures compliance with coding guidelines and regulations, optimizes hospital reimbursement, and supports quality improvement initiatives. The ideal candidate will have a strong background in medical coding, a keen eye for detail, and a thorough understanding of healthcare reimbursement systems.
Position Qualifications
Minimum Education Associate’s degree in health information technology or nursing from an accredited college or university or accredited coding certification program.
Preferred Education Successful completion of an accredited coding certification program through AHIMA or AAPC.
Minimum Experience 1 year experience in health information management. 1 year experience in ICD-10-CM and CPT coding.
Preferred Experience 2-3 years’ experience in health information management. 2-3 years’ experience in ICD-10-CM and CPT coding.
Certifications Required Certified Coding Specialist (CCS), will also consider the following with appropriate experience; Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC)
**Candidates with other coding certifications and 2 years of coding experience must obtain certification through an accredited coding program within 1 year of employment
Certifications Preferred Certified Coding Specialist (CCS), Certified Outpatient Coder (COC) and/or Certified Inpatient Coder (CIC)