[Hiring] DRG Coder @Iberia Medical Center

Role Description

Iberia Medical Center (IMC) in New Iberia, LA is looking to hire a DRG Coder - Remote. This employee is under the direction of the Revenue Cycle Manager, responsible for assigning ICD-10-CM and ICD-10-PCS codes to inpatient medical records upon discharge and assigning the appropriate MS-DRG for reimbursement purposes. This remote position works closely with Clinical Documentation Improvement (CDI) Specialists and serves as an active participant on the Compliant Documentation Management Program Team.

The DRG Coder is responsible for ensuring accurate, compliant, and timely coding practices that support proper reimbursement and billing integrity. This position also assists with denial prevention, appeals, documentation clarification, and coding validation activities. The DRG Coder must communicate effectively and maintain positive working relationships with:

• Physicians
• Nursing staff
• Ancillary departments
• Case management
• Auditors
• ER staff
• Billers
• Physician office personnel

WORK HOURS: Monday through Friday with flexible scheduling. Full-time hours. This position daily hours are flexible but should be consistent.

Principal Tasks, Duties, and Responsibilities:

• Codes and abstracts inpatient discharges utilizing ICD-10-CM and ICD-10-PCS classification systems
• Assigns final MS-DRGs in accordance with official coding guidelines and payer regulations
• Reviews medical records for documentation completeness and coding accuracy
• Serves as a vital participant on the Compliant Documentation Team and communicates regularly with CDI Specialists
• Queries physicians as appropriate to obtain proper documentation clarification for accurate coding and DRG assignment
• Audits emergency room records for proper charge master-assigned codes and corrects coding when necessary
• Assigns HCPCS codes when appropriate
• Assists Case Management, Business Office personnel, auditors, and physician offices with coding questions, denials, appeals, and reimbursement issues
• Performs pre-submittal DRG validations for charts requested by external auditing entities
• Participates in monthly cross-coding audits and coding quality improvement initiatives
• Assists with orientation and training of new employees as assigned
• Maintains confidentiality and compliance with HIPAA and all applicable federal and state regulations
• Performs other duties as assigned

Qualifications

• Bachelor of Science in Health Information Management or equivalent preferred
• RHIA, RHIT, CCS, CIC, or registry-eligible preferred
• Other coding credentials may be considered
• Certifications through AHIMA or AAPC preferred

Requirements

• Prior inpatient coding experience in an acute care facility preferred
• Experience with DRG assignment and inpatient reimbursement methodologies preferred
• Spreadsheet and word processing experience helpful
• Experience working remotely and independently preferred

Job Knowledge

• Demonstrated knowledge of ICD-10-CM and ICD-10-PCS coding systems
• MS-DRG assignment methodologies
• Medical terminology
• Anatomy and physiology
• American Hospital Association coding rules
• Medicare reimbursement guidelines
• Strong analytical, organizational, and communication skills
• Ability to establish and maintain effective working relationships across departments
• Ability to work independently while maintaining productivity and quality standards

Company Description

IBERIA MEDICAL CENTER is an EEO Employer - M/F/Disability/Protected Veteran Status.