Audit inpatient trauma coding for accuracy and completeness, validate ICD-10 and DRG assignments, review trauma documentation, ensure correct diagnosis/procedure sequencing and POA/CC/MCC capture, identify documentation gaps and recommend physician queries, coach coders, maintain quality/productivity targets, prepare audit reports and analyze coding trends.
- Audit inpatient trauma coding for accuracy and completeness.
- Validate ICD-10-CM, ICD-10-PCS, and MS-DRG/APR-DRG assignments.
- Review trauma documentation including:
- Emergency Department records
- Trauma history & physical
- Operative reports
- ICU progress notes
- Discharge summaries
- Ensure correct sequencing of diagnoses and procedures.
- Verify POA (Present on Admission), CC/MCC capture, and trauma-related complications.
- Identify documentation deficiencies and recommend physician queries when required.
- Provide feedback and coaching to coders based on audit findings.
- Maintain quality and productivity targets.
- Prepare audit reports and analyze coding trends.
- Stay updated with ICD-10, Coding Clinic, CMS, and client-specific guidelines.
IKS Health Mumbai, Maharashtra, IND Office
Mumbai, India
IKS Health Navi Mumbai, Maharashtra, IND Office
Raheja Mindspace, Airoli, Thane, Navi Mumbai, Maharashtra, India, 400708
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