- Review inpatient trauma cases and assign accurate ICD-10-CM and ICD-10-PCS codes.
- Determine the appropriate MS-DRG/APR-DRG assignment.
- Analyze documentation from:
- Emergency Department (ED)
- Trauma History & Physical
- Operative reports
- ICU progress notes
- Consultant notes
- Discharge summaries
- Identify the principal diagnosis, secondary diagnoses, principal procedure, and additional procedures.
- Capture CC/MCC, POA indicators, complications, and comorbidities accurately.
- Query physicians for incomplete or unclear documentation when appropriate.
- Ensure compliance with ICD-10-CM/PCS Official Guidelines, Coding Clinic guidance, CMS regulations, and client-specific policies.
- Meet established productivity and quality benchmarks.
- Participate in internal audits, education, and process improvement initiatives
Skills Required
- Proficient knowledge of ICD-10-CM coding
- Proficient knowledge of ICD-10-PCS coding
- Ability to assign MS-DRG and APR-DRG
- Familiarity with ICD-10 Official Guidelines, Coding Clinic guidance, and CMS regulations
- Ability to analyze ED, H&P, operative reports, ICU notes, consultant notes, and discharge summaries
- Skill in identifying principal and secondary diagnoses, principal and additional procedures, CC/MCC, and POA indicators
- Experience querying physicians for incomplete or unclear documentation
- Ability to meet established productivity and quality benchmarks
- Participate in internal audits, education, and process improvement initiatives
What We Do
Our mission is to enable efficient and sustainable delivery of excellent care. The IKS Care Enablement Platform enables us to deliver the chores of healthcare, across administrative, clinical, and operational burdens, enabling clinicians and staff to focus on their core purpose of delivering great care to their patients. IKS Health creates transformative value in healthcare through a unique combination of cutting edge technology and dedicated experts that empowers clinicians to build healthier communities, and enables stronger, financially sustainable enterprises. Our global team of 14,000, including 600+ technologists and 2,600+ clinical staff, enables 150,000 clinicians to rediscover the joy of medicine. IKS Health is the trusted partner for 900+ clients including the largest hospitals, health systems, and specialty groups across the United States.
