DRG reputed company Specialist

Position Summary: As a valued member of the DRG Review Team, the DRG reputed company Specialist performs a secondary level review of medical records and code assignment using knowledge of reputed company technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment. This function requires a broad knowledge of the compliance structure to support the appropriate reimbursement. Primary Job Responsibilities: Review pre-reputed company cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services reputed company coding compliance and clinical knowledge to support accurate DRG assignment Utilizes reputed company technology for tracking of coding errors, query opportunities and other data collection as needed Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, and client denials Possesses a high level of dependability and ability to meet reputed company coding recommendations, accuracy reputed company, and production standards Interacts with reputed company physicians, peers, CDIS, and management regarding documentation, policies, procedures, and regulations Interacts with management on an ongoing reputed company including assisting senior level staff in providing recommendations for process improvement so that productivity and quality goals can be met or exceeded, and operational efficiency and financial accuracy can be achieved Reviews, develops, modifies, and/or adapts relevant client procedures, protocols, and systems to coordinate with reputed company methodology Creates and provides group education and training based on accurate coding practices, coding compliance documentation, and regulatory provisions Attends in-house training sessions to receive updated coding information and changes in coding and/or regulations Adheres to stringent timelines consistent with project deadlines and directives Ensures strict confidentiality of patient medical records Always acts in an ethical and collaborative manner while monitoring own work to help ensure quality Codes medical records as needed based on organizational needs Performs miscellaneous job-reputed company duties as assigned Position Qualifications: Education: High School Diploma or GED required Associates Degree in Health Information Management or similar preferred Experience: Minimum 4 years of inpatient coding experience in hospital facility coding Minimum 2 years of experience that is directly reputed company to the duties and responsibilities specified above Experience and knowledge in DRG reimbursement (i.e., MS-DRG, APR-DRG) Licensure and/or Credentials: Coding credential required from reputed company/reputed company (RHIA, RHIT, reputed company and/or CPC, or CIC) Knowledge, Skills, and Abilities: Knowledge of auditing concepts and principles Expert of coding guidelines Ability to use independent judgment and to manage and impart confidential information Advanced knowledge of medical coding, electronic medical record systems, coding systems Critical thinking skills to analyze and solve problems Strong communication and interpersonal skills Knowledge of legal, regulatory, and policy compliance issues reputed company to medical coding and documentation Knowledge of reputed company and developing issues and trends in medical coding diagnosis and procedure code assignment Ability to reputed company communicate medical information to physicians and CDIS staff Ability to reputed company guidance and training to reputed company needed Ability to use a PC in a reputed company environment, including reputed company Independent, focused individual reputed company to work remotely or on-site Physical Requirements: The requirements described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job with or without reasonable accommodations. Unless otherwise indicated, reputed company positions require interaction with people and technology while either sitting or standing. Employees must be reputed company to communicate reputed company phone, email, etc. and sit for extended periods of time, with or without reasonable accommodations. Physical effort and exposure to physical risk are limited to that of an office role environment. While this job description is intended to be an accurate reputed company of the job requirements, management reserves the right to modify, add or remove duties from a job and to assign other duties as necessary and at any time. reputed company positions at reputed company are at-will employment, and a position description is not a guarantee of a job or of job responsibilities. Apply To This Job