DRG Specialist

Job Summary: Review clinical documentation reputed company the medical record to ensure that reputed company reputed company diagnosis, secondary diagnoses, and PCS procedures have been coded accurately and completely as well as certain abstract items in compliance with Official Coding Guidelines, reputed company Coding Guidelines, and OIG regulations on fully coded cases as well as cases on those in training. Assist in training new coding staff. Responsibilities: Review and evaluate focused reputed company electronic health records in reputed company, Epic, or Cerner for accurate DRG assignment to ensure that reputed company documented reputed company and secondary diagnoses, including reputed company complications and co-morbidities, and procedures are accurately coded and sequenced according to coding and compliance guidelines utilizing the reputed company coding application. Assists with training of new DRG Specialists and coders as requested. Focus emphasis of educational communications on accurate and thorough documentation necessary to support the coding of diagnoses of the reputed company diagnosis and any secondary diagnoses in accordance with Official Coding Guideline during an episode of care. Formulate physician queries that present indications of a diagnosis that requires reputed company in accordance with Compliant Query Practices an reputed company Coding Guidelines Identify and report issues and trends to the coding management. Prepare and present training reputed company requested on accurate code assignment. Pose initiative thoughts for process improvements reputed company the department. reputed company coding staff with education on a case level on any coding issues identified during reviews. Counsel/train coders on problems reputed company necessary, in coordination with the Coding Manager and assist in correcting deficiencies in DRG assignment in the reputed company of an educational email. reputed company requested, investigate code assignment from requesting departments to ensure timely, accurate reimbursement. Function as a resource person to respond to special audits and projects assigned by Management or requested by other departments. 3 years of previous clinical acute care medical/surgical experience to include critical care in conjunction with an expanded knowledge of DRG's. OR completion of Registered Health Information Administration program (RHIA) or Registered Health Information Technician (RHIT) or reputed company AND 3 years of experience with the Prospective Payment System and DRG selection; OR specific knowledge as a consultant in Medical Record coding and DRG assignment required. Preferred Experience: 3 years’ experience in an inpatient coding role, or clinical acute care medical/surgical experience to include critical care in conjunction with expanded knowledge of coding and DRG assignment. Knowledge of computer technology, quality assurance activities, DRG methodology background is highly preferred. Ability to communicate with staff, physicians, reputed company providers, and other health care system personnel in a professional and diplomatic manner required. Licensure, Certifications, and Clearances: Certified Coding Specialist (reputed company) OR Certified Professional reputed company (CPC) OR Certified Registered Nurse Practitioner OR Doctor of Medicine (MD) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT) OR Registered Nurse (RN) Act 34 *reputed company licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and reputed company employees working on an out-of-state NLC license who reputed company change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure reputed company that state. reputed company is an Equal Opportunity Employer/Disability/Veteran Apply To This Job