Jennifer Morris

Perform quarterly coding quality audits for 60+ inpatient coders.

Research, analyze and respond to inquiries regarding compliance, inappropriate coding and third party payor denials.

Conduct pre-bill case reviews to validate diagnosis and procedure codes for inpatient cases, ensuring accurate DRG assignment through coding compliance and clinical knowledge.

Process third party payor clinical denials; write appeal letter when appropriate.

Perform miscellaneous job-related duties as assigned.

Skilled at working independently and collaboratively in a team environment.

Excellent communication skills, both verbal and written.

Self motivated, with a strong sense of personal responsibility.

Perform inpatient coding quality reviews to validate accurate DRG assignment.

Manage multiple edit queues to reconcile conflicting issue within the account to assure accurate payment; including but not limited to, billing rejections, claim edits, combined accounts, missed surgical procedures and credentialing errors.

Review third party payor denials utilizing official coding guidelines and CMS policies and regulations to ensure accuracy of the ICD-10 CM/PCS codes assigned.

Utilizing a 16 week syllabus, train all new inpatient coders.

Concurrent code multiple trauma accounts.

Assist inpatient coders when guidance is needed utilizing coding guidelines, coding clinics or one on one training sessions.

Ability to demonstrate high dependability and meet coding standard recommendations, accuracy rate and production standards.

Review, abstract and assign ICD 10 CM/PCS codes ensuring optimal reimbursement in compliance with official coding guidelines, state and federal regulations and hospital processes and policies.

Ability to apply critical thinking skills to make a clinical determination, obtain missing information and or query a physician to clarify existing information within the record.

Complete understanding of CCs/MCCs, impact on quality reporting, UHDDS guidelines, HACs and PSIs.

Ability to adhere to query policy and CDI reconciliation process.

Maintains coding knowledge and skills via written coding resources, educational webinars and quarterly coding clinic updates.

Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association.