Inpatient DRG Coding Auditor

Job not on LinkedIn

🔥 6 minutes ago

🏈 Alabama, Florida, +12 more states – Remote

🏈 Alabama – Remote 🐊 Florida – Remote 🌽 Illinois – Remote ⚜️ Louisiana – Remote 🗻 New Hampshire – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🚗 Michigan – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote 🧀 Wisconsin – Remote

💵 $39 - $47 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 0%

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Emory Healthcare

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

🔬 Science

Healthcare • Education • Science

Emory Healthcare is the academic health system of Emory University that brings together research, education and clinical practice to provide comprehensive patient care across Georgia. It operates multiple hospitals and provider locations (noted in their materials as 11 hospital and provider locations across the state) and offers a broad range of services and specialized centers — for example, the Emory Winship Cancer Institute (an NCI-designated Comprehensive Cancer Center), the Emory Brain Health Center, and Heart & Vascular programs. Emory Healthcare emphasizes patient-focused care, advanced therapies, clinical trials, and integrated services such as MyChart patient portal, financial/visitor resources, and specialty centers for oncology, neurology, cardiology, transplant, orthopaedics, and more.

📋 Description

• Review inpatient medical records for select payer populations post-discharge and pre-bill • Audit the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data including POA and Discharge Disposition • Review discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG • Review non-CC/MCC records to determine whether records were miscoded or require additional documentation • Work with Coders and CDSs to draft and initiate physician queries • Perform reviews in a timely manner to maintain the DNFB target of 4 days • Coordinate educational and training programs on technical coding and clinical topics for coding staff • Coordinate remediation when required • Collaborate with Coding leadership, Quality nurses, and the CDS team to educate physicians, nursing, and other clinical staff to improve documentation • Review DRG Reassignment letters and assist in formulating Appeal letters

🎯 Requirements

• 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 • Knowledge of DRG and grouping methodologies (MS DRG's and AP DRG's), particularly diagnoses/procedures impacting 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 • Applicants must be physically located and authorized to work in Alabama, Arkansas, Florida, Georgia, Illinois, Louisiana, Michigan, New Hampshire, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, or Wisconsin • Ability to meet the stated physical and environmental requirements, including use of personal protective equipment where applicable

🏖️ Benefits

• Comprehensive health benefits that start day 1 • Student Loan Repayment Assistance & Reimbursement Programs • Family-focused benefits • Wellness incentives • Ongoing mentorship, development, leadership programs

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