Inpatient DRG Coding Auditor
On-siteJohns Creek, Georgia, United States
Johns Creek, Georgia, United StatesOn-siteFull TimeHigh School Or EquivalentLarge
Full TimeHigh School Or EquivalentLarge
Job Summary
Review inpatient medical records post-discharge and pre-bill for accuracy in diagnosis, procedure coding, DRG assignment, and abstracted data. Audit discrepancies between Clinical Documentation Specialist and Coder DRGs to determine miscoding or missing documentation. Draft and initiate physician queries to maintain a 4-day DNFB target. Provide coding development by coordinating educational and training programs on technical coding and clinical topics. Coordinate remediation efforts and assist in formulating appeal letters for DRG reassignments.
Required Qualifications
- High school diploma
- Minimum five (5) years experience with coding ICD-10 in an acute care setting
- Previous experience in performing DRG coding audits
- Certified Coding Specialist (CCS) certification
- Possesses knowledge of DRG and grouping methodologies (MS DRG's and AP DRG's)
- in particular what diagnoses / procedures impact DRG assignment
- Basic computer skills in word processing and spreadsheet utilization
- Excellent interpersonal skills to develop relationships necessary to facilitate and educate
- Excellent prioritization and organizational skills
- Lifting 50 lbs max
- Carrying of objects up to 25 lbs
- Occasional to frequent standing & walking
- Occasional sitting
- Close eye work (computers, typing, reading, writing)
- Shift work
- Travel may be required
Desired Qualifications
- Bachelor's degree in related field
- RHIA/RHIT
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