Diagnosis Related Group (DRG) Coordinator reviews inpatient hospital records for accurate diagnosis, procedure, and billing codes. Monitors data quality in order to maximize reimbursement. Being a Diagnosis Related Group (DRG) Coordinator monitors the financial status of Medicare patient accounts in order to minimize potential loss. May require a bachelor's degree. Additionally, Diagnosis Related Group (DRG) Coordinator typically reports to a manager or head of a unit/department. The Diagnosis Related Group (DRG) Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Diagnosis Related Group (DRG) Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)
Job Type
Full-time
Description
POSITION SUMMARY :
As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity 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 :
Requirements
POSITION QUALIFICATIONS :
Education :
Experience :
Licensure and / or Credentials :
Coding credential required from AHIMA / AAPC (RHIA, RHIT, CCS and / or CPC, or CIC)
Knowledge, Skills, and Abilities :
Note : While this job description is intended to be an accurate reflection 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.
All positions at Accuity are at-will employment, and a position description is not a guarantee of a job or of job responsibilities.
Last updated : 2024-04-22
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