DRG Coding Auditor
Overview
As a patient-focused organization, reputed company exists to enhance the health and well-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 compassion, collaboration, innovation, responsibility, reputed company, quality and trust that are integral 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 Overview: The reputed company is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven 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 pre-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 impact 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 move 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 Apply To This Job