Emory Healthcare
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 Family-focused 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: 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 POA, Discharge Disposition. Review discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Review non-CC/MCC records to determine if the record was miscoded or if additional documentation is needed. Work with Coders and CDSs to draft and initiate physician queries. Perform reviews in a timely manner to maintain DNFB target of 4 days. Provide coding development with coordination of educational and training programs regarding technical coding and clinical topics for the coding staff. Coordinate remediation when required. Coordinate with the 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. Minimum Qualifications
Certified Coding Specialist (CCS) certification. RHIA/RHIT preferred. Minimum five (5) years of experience with coding ICD-10 in an acute care setting. Previous experience in performing DRG coding audits. Possess knowledge of DRG and grouping methodologies (MS DRG's and AP DRG's); 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
Supporting a diverse, equitable and inclusive culture.
Emory Healthcare (EHC) is dedicated to providing equal opportunities and access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression and/or veteran's status. EHC does not discriminate on the basis of any factor stated above or prohibited under applicable law. EHC respects, values, and celebrates the unique perspectives and backgrounds of all individuals. EHC aspires to create an environment of collaboration and true belonging for all our patients and team members. Accommodations:
EHC will provide reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Diversity, Equity, and Inclusion. Physical Requirements:
(Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks. Environmental Factors:
Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste; Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.
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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 Family-focused 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: 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 POA, Discharge Disposition. Review discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Review non-CC/MCC records to determine if the record was miscoded or if additional documentation is needed. Work with Coders and CDSs to draft and initiate physician queries. Perform reviews in a timely manner to maintain DNFB target of 4 days. Provide coding development with coordination of educational and training programs regarding technical coding and clinical topics for the coding staff. Coordinate remediation when required. Coordinate with the 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. Minimum Qualifications
Certified Coding Specialist (CCS) certification. RHIA/RHIT preferred. Minimum five (5) years of experience with coding ICD-10 in an acute care setting. Previous experience in performing DRG coding audits. Possess knowledge of DRG and grouping methodologies (MS DRG's and AP DRG's); 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
Supporting a diverse, equitable and inclusive culture.
Emory Healthcare (EHC) is dedicated to providing equal opportunities and access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression and/or veteran's status. EHC does not discriminate on the basis of any factor stated above or prohibited under applicable law. EHC respects, values, and celebrates the unique perspectives and backgrounds of all individuals. EHC aspires to create an environment of collaboration and true belonging for all our patients and team members. Accommodations:
EHC will provide reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Diversity, Equity, and Inclusion. Physical Requirements:
(Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks. Environmental Factors:
Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste; Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.
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