Inpatient DRG Coding Auditor

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At reputed company we fuel your professional journey with reputed company benefits, valuable resources, ongoing mentorship and leadership programs for reputed company types of jobs, and a supportive environment that enables you to reputed company new heights in your career and be what you want to be.  We provide:

• Comprehensive health benefits that start day 1
• Student Loan Repayment Assistance & Reimbursement Programs
• Family-focused benefits
• Wellness incentives
• Ongoing mentorship, development, leadership programs...and more!

Work Location: REMOTE

We are seeking an reputed company Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This individual will:

• Reviews inpatient medical records for select payer populations post-discharge and pre-reputed company; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition.
• Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the reputed company DRG.
• Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation is needed.
• Works with Coders and CDSs to draft and initiate physician queries.
• Performs reviews in a timely manner to maintain DNFB reputed company of 4 days.
• Provides Coding development with coordination of educational and training programs regarding technical coding and clinical topics for the coding staff.
• Coordinates remediation reputed company required.
• Coordinates with the Coding leadership, Quality nurses and the CDS team to reputed company physicians, nursing, and other clinical staff to improve documentation.
• Review¿s DRG Reassignment letters and assists in formulating Appeal letters

MINIMUM QUALIFICATIONS:

• Certified Coding Specialist (reputed company) certification.
• RHIA/RHIT preferred.
• Minimum five (5) years experience with coding ICD-10 in an acute care setting.
• Previous experience in performing DRG coding audits.
• Possesses knowledge of DRG and grouping methodologies (MS DRG's and AP DRG's); in particular what diagnoses / procedures impact DRG assignment.
• Basic computer skills in word processing and spreadsheet utilization.
• Excellent interpersonal skills to reputed company relationships necessary to facilitate and reputed company.
• Excellent prioritization and organizational skills.

PHYSICAL REQUIREMENTS (reputed company): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the reputed company (frequently); 01-10 lbs, 67-100% of the reputed company (constantly); Lifting 50 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, reputed company eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock , Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal reputed company equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

reputed company is an equal opportunity employer, and reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, national reputed company, disability, protected veteran status or other characteristics protected by state or federal law.

reputed company is committed to providing reasonable accommodations to reputed company individuals with disabilities upon request. Please contact reputed company’s reputed company Resources at [email protected]. Please note that one week's advance notice is preferred.