Remote DRG Validator Support-CCS, CCP

Our client located near Darien, Georgia is seeking an experience DRG Validator Support with extensive Inpatient Coder-CCS, CPC or CCS-P experience to join their team.

5+ years of INPATIENT Coding experience.   This position can be remote.

Job Responsibilities of the DRG Validator Support/Inpatient Coder:

• Reviews medical records and clinical documentation to verify the accuracy of assigned DRGs to ensure the correct
  case mix is reflected for our Health System. Analyzes patient charts to identify discrepancies or inconsistencies in
  DRG assignment. Stays updated on changes in coding guidelines, regulations, and healthcare policies affecting
  DRG assignment
• Demonstrates understanding of policies, procedures and federal guidelines that apply directly to coding, DRG
  assignment, reimbursement, clinical documentation improvement, and UB 04 standards. Responsible for reviewing
  clinical documentation reviews performed for all inpatients prior to billing within the requirements of the Centers
  of Medicaid & Medicare Services and other regulatory agencies
• Collaborates with coding and clinical staff to resolve coding-related issues. Participates in coding audits and quality
  improvement initiatives.
• Effectively communicates current and revised coding changes and clarifications to ancillary departments and
  Medical Staff members. Works with Quality team as needed
• Performs second review of focus DRG’s, discharge disposition, and Present on Admission flags of encounters prior
  to billing.
• Performs additional audits for regulatory agencies as scheduled as part of fiscal responsibility to the health system.
  

Minimum Job Requirements of Inpatient Coder:

• 5+ years of Inpatient Coding experience

• CCS, CPC or CCS-P required

• Emphasis is on Quality, prepaid Audit   

For more information on this permanent Inpatient Coding position or others nationwide, please apply with your updated resume for review.  

Job Requirements: