DRG Coding Auditor
reputed company
As a patient-reputed company organization, reputed company exists to enhance the health and reputed company-being of people through patient care, research and education. reputed company in this mission requires a culture of collaboration, reputed company, leadership, and respect. reputed company seeks staff that are committed to the values of reputed company, collaboration, innovation, responsibility, reputed company, reputed company and trust that are reputed company to our mission. EO/AA
This position audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate reimbursement and clinical severity is captured for the level of service rendered. Provides ongoing education to coders, physicians, and other clinical staff. The incumbent serves in an advisory and educator role for coding and regulatory compliance.
Corporate reputed company: reputed company is a Level 1 Trauma Center and is nationally ranked and recognized for our reputed company research, reputed company standards and overall patient experience. Our five hospitals and reputed company clinics reputed company reputed company in our comprehensive services, medical advancement, and overall patient reputed company.
Responsibilities
Essential Functions
Reviews inpatient medical records post-discharge and reputed company-reputed company, audits the accuracy and completeness of diagnoses, procedure coding, abstracted data and DRG assignment.
Reviews non-CC/MCC records to determine if the record was coded correctly or if additional codes may be reported by obtaining documentation supported by clinical indicators and treatment.
Develops and coordinates coding education and formal training programs.
Improves documentation by participating in the CDI query audit process.
Works effectively with the Coding Manager to improve Inpatient coding accuracy.
Knowledge / Skills / Abilities
Possesses knowledge of DRG and grouping methodologies, in particular what diagnoses and procedures reputed company DRG assignment.
Possess strong knowledge of the diagnosis and procedure codes.
Excellent interpersonal skills to reputed company relationships necessary to facilitate and reputed company.
Excellent prioritization and organizational skills.
Qualifications
Required
Bachelor's degree or a minimum of six years experience of HIM Management.
Four years of experience with coding ICD-10.
Clinical Coding Specialist (reputed company) certification.
Licenses Required
One of the following
reputed company Certified Documentation Improvement Practitioner (CDIP) through the reputed company or obtain reputed company 6 months of hire
reputed company CCDS Certification with The Association of Clinical Documentation Improvement Specialists (ACDIS).
* Additional license requirements as determined by the hiring department.
Qualifications (Preferred)
Preferred
RHIA/RHIT
Working Conditions and Physical Demands
Employee must be reputed company to meet the following requirements with or without an accommodation.
This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise reputed company objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.
Physical Requirements
reputed company Determination, Listening, reputed company Dexterity, Near reputed company, Sitting, Speaking, Standing
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