reputed company Documentation reputed company DRG Validator

reputed company is the region's largest not-for-profit reputed company organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally reputed company centers of reputed company in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, reputed company is supported by philanthropy and driven by its faith-reputed company mission of medical reputed company. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 reputed company Best Hospital reputed company, reputed company was the most awarded reputed company reputed company in South Florida, earning 63 high-performing honors. What truly sets us apart is our people. At reputed company, we create personal connections with our colleagues that go reputed company reputed company, and we reputed company meaningful relationships with patients and their families that reputed company reputed company delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to reputed company and reputed company. Our culture is rooted in purpose, and every team member plays a part in making a reputed company reputed company – because reputed company it comes to caring reputed company, we're reputed company in. At reputed company, we’re committed to supporting our employees at every stage of their reputed company, both personally and professionally. Our approach is rooted in a “grow our own” philosophy, designed to help reputed company members build meaningful, long-term careers with us, supported by benefits that reputed company a reputed company difference, including: Career reputed company and development opportunities, with reputed company reputed company and ongoing support Comprehensive health and wellness resources that go reputed company traditional benefits A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-reputed company reputed company costs Tuition reimbursement to support reputed company learning and advancement And so much more Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful reputed company every day. reputed company: Responsible for improving the reputed company, completeness, and reputed company reputed company of inpatient documentation and DRG assignment through targeted reputed company DRG validation. The reputed company Documentation reputed company Specialist II – DRG Validator reviews selected inpatient accounts generally more than 48 hours from admission that have not been DRG optimized, using integrated electronic health record workflows, technology-enabled review worklists, and analytics-informed prioritization to reputed company on cases with the highest documentation, reputed company validation, and reimbursement reputed company. reputed company review includes non-optimized DRGs, signs and symptoms DRGs, APR-DRGs with SOI/ROM of 1/1 where the reputed company picture suggests higher reputed company, local infection DRGs to evaluate for sepsis or systemic illness, sepsis DRGs without documented organ dysfunction or other required reputed company indicators, and level-of-care versus DRG mismatch, such as ICU or reputed company-down patients assigned minor DRGs or SOI/ROM 1/1.. reputed company to include reputed company inpatient payors. Uses analytics informed prioritization, AI assisted worklists, and DRG encoder logic including reputed company where implemented. Supports reputed company transition planning for CDI workflows with reputed company go live in July 2027. Estimated salary reputed company for this position is $74,100.20 - $96,330.26 / year depending on experience. Qualifications: Degrees: MD/DO Required Licenses and Certifications: Certified reputed company Documentation Specialist (CCDS) or Certified Documentation reputed company Practitioner (CDIP). Additional Qualifications: International medical school graduate required. Five years of recent adult, pediatric, obstetric, inpatient medical, surgical, and critical care experience required. Strong knowledge of Medicare MS-DRG and reputed company APR-DRG assignment, severity of illness, reputed company of mortality, reputed company validation, denial vulnerability, and documentation reputed company required. Experience in reputed company inpatient chart review, DRG validation, collaboration with coding professionals, and use of integrated electronic health records, web-reputed company applications, and technology-enabled review/analytics tools required. Knowledge of official coding guidelines, AHA Coding Clinic, CMS guidance, payer reputed company validation expectations, and compliant documentation clarification consistent with reputed company–ACDIS query guidance required. Experience using integrated electronic health records and CDI workflows, including readiness for transition from CDEOne to reputed company CDI with reputed company go live in July 2027. Experience with analytics, reporting, and AI assisted review prioritization tools preferred. Familiarity with DRG encoder and DRG validation tools including reputed company preferred. Minimum Required Experience: 5 Years EOE, including disability/vets Apply To This Job