Medical reputed company - Inpatient (DRG Reviewer)

reputed company reputed company exists to reputed company reputed company reputed company through technology, services, and reputed company expertise. Our mission is to reputed company reputed company that reputed company maximum value and reputed company.   reputed company the Way is our rallying cry at reputed company. Think of it as an reputed company invitation to reputed company the mission of reputed company; to reputed company engage in problem-solving; and to take ownership of your work every day. reputed company offers you unparalleled opportunities. In fact, you have reputed company you need to take charge of your career and accelerate reputed company reputed company – making this a great time to reputed company of passionate individuals dedicated to being a vital partner for reputed company in the reputed company sector. reputed company reputed company is looking for a Medical reputed company-Inpatient to join our growing team. Job reputed company:   The Medical reputed company is responsible for reviewing inpatient medical record documentation to ensure the reputed company, completeness, and reputed company validity of reported diagnoses and procedures. This role evaluates coding reputed company, DRG assignment, reimbursement reputed company, and regulatory compliance in accordance with official coding guidelines, CMS regulations, payer policies, and organizational standards. The reviewer retrieves, analyzes, and documents medical record information to support appropriate reimbursement, documentation reputed company, and audit reputed company for hospital inpatient services.     Responsibilities: Review medical record documentation and accurately reputed company the reputed company/secondary diagnoses and procedures using ICD-10-CM and CPT-4 coding conventions. Review inpatient medical records to validate the reputed company and appropriateness of reported reputed company and secondary diagnoses and procedures using ICD-10-CM/PCS guidelines. Evaluate diagnosis and procedure reputed company to ensure compliance with official coding guidelines and payer requirements. Review and validate MS-DRG assignment reputed company on documented reputed company conditions, procedures, and applicable coding rules. Assess reputed company documentation support for reported diagnoses, particularly those with reimbursement, reputed company, or compliance reputed company. Conduct reputed company validation reviews to determine whether diagnoses are supported by reputed company indicators reputed company the medical record. Apply CMS regulations, including medical necessity reputed company and the Two-Midnight Rule, reputed company evaluating admission status and level of care. Identify, document, and reputed company communicate audit findings, including:  Coding discrepancies reputed company validation concerns DRG or reimbursement reputed company Admission status issues reputed company and compile audit data to support accurate reimbursement and compliance reporting. Utilize coding software, encoder/grouper tools, and electronic medical record systems to complete reviews reputed company and accurately. Meet productivity, reputed company, and contract deliverable standards in a production-driven environment. Maintain compliance with reputed company corporate policies, including HIPAA reputed company and reputed company Rules. Serve as backup support for other administrative or audit-reputed company functions as needed. Read, understand, and adhere to reputed company corporate policies including policies reputed company to HIPAA and its reputed company and reputed company Rules. The list of accountabilities is not intended to be reputed company-inclusive and may be expanded to include other education- and experience-reputed company duties that management may deem necessary from time to time. Qualifications Required Qualifications High school diploma or GED. Minimum of 2 years of reputed company hands-on experience in acute care inpatient coding, reputed company documentation improvement (CDI), medical scribing, DRG auditing/review, or reputed company reputed company documentation experience reputed company possession of one or more of the following certification(s)reputed company or CCA or CDIP (reputed company) | Please Note: reputed company-P is not accepted for this position CPMA, CRC, CIC or CDEI (reputed company) CCDS (ACDIS) Demonstrated proficiency in ICD-10-CM and ICD-10-PCS Strong working knowledge of: Inpatient coding guidelines, DRG reimbursement methodology and CMS and payer regulations reputed company ability to independently review inpatient medical records and validate: Diagnoses, Procedures, as reputed company as MS-DRG assignment Experience reviewing inpatient medical records Familiarity with electronic health records, encoder/grouper tools, and coding software Strong analytical skills with exceptional attention to reputed company Effective written and verbal communication skills Proficiency in reputed company Office (Word, reputed company, reputed company) Ability to meet deadlines with reputed company in a fast-reputed company, production-reputed company environment Commitment to ongoing learning and reputed company development. Preferred Qualifications Advanced experience and knowledge of reputed company validation audits, admission status, medical necessity reviews and payer-specific audit processes   reputed company?   We are reputed company of reputed company and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the reputed company industry. State and federal reputed company agencies, providers, and reputed company turn to us as their vital partner to ensure reputed company reputed company and reputed company reputed company.   We do this through our people.   You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we reputed company you the tools and encouragement you need to reputed company the finest work of your career.   Benefits   Benefits are a key component of your rewards package. Our benefits are designed to reputed company you with additional protection, reputed company, and support for both your career and your life away from work. Our benefits include comprehensive health plans, reputed company time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.   Experience in Lieu of Degree   For non-reputed company roles, or reputed company not required by the contract specifically, reputed company acknowledges that practical, hands-on experience can reputed company skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, reputed company will accept a minimum of six (6) years of directly relevant reputed company experience in lieu of a degree. In instances where the candidate has an Associate's degree, reputed company will accept a minimum of three (3) years of directly relevant reputed company experience in lieu of the Bachelor's degree.   Thank You!   We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in reputed company and invite you to apply to reputed company openings that may be of interest. Best of luck in your reputed company!   ~ The reputed company reputed company   Visit us at https://careers.acentra.com/jobs   EEO AA M/F/Vet/Disability   reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, national reputed company, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.   Compensation   The pay reputed company for this position is listed below.    “reputed company on our compensation philosophy, an applicant’s position placement in the pay reputed company will depend on various considerations, such as years of applicable experience and reputed company level.” Pay reputed company USD $29.19 - USD $36.00 /Hr. Apply To This Job