Inpatient DRG Coding Auditor
Inpatient DRG Coding Auditor
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Job Description
Overview
Be inspired. Be valued. Belong.
At Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoing mentorship and leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
- Comprehensive health benefits that start day 1
- Student Loan Repayment Assistance & Reimbursement Programs
- Familyfocused benefits
- Wellness incentives
Ongoing mentorship development leadership programs...and more!
Description
We are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This individual will:
- Reviews inpatient medical records for select payer populations postdischarge and prebill; audits the accuracy and completeness of diagnosis and procedure coding DRG assignment and abstracted data POA Discharge Disposition.
- Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG.
- Reviews nonCC/MCC records to determine if record was miscoded or if additional documentation is needed.
- Works with Coders and CDSs to draft and initiate physician queries.
- Performs reviews in a timely manner to maintain DNFB target of 4 days.
- Provides Coding development with coordination of educational and training programs regarding technical coding and clinical topics for the coding staff.
- Coordinates remediation when required.
- Coordinates with the Coding leadership Quality nurses and the CDS team to educate physicians nursing and other clinical staff to improve documentation.
- Reviews DRG Reassignment letters and assists in formulating Appeal letters
MINIMUM QUALIFICATIONS:
- Certified Coding Specialist (CCS) certification.
- RHIA/RHIT preferred.
- Minimum five 5 years experience with coding ICD10 in an acute care setting.
- Previous experience in performing DRG coding audits.
- Possesses knowledge of DRG and grouping methodologies (MS DRGs and AP DRGs); 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.
Additional Details
Emory is an equal opportunity employer and qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcares Human Resources at . Please note that one weeks advance notice is preferred.
Employment Type
Full-Time
