Emory Healthcare
Join to apply for the
Inpatient DRG Coding Auditor
role at
Emory Healthcare 2 days ago Be among the first 25 applicants Join to apply for the
Inpatient DRG Coding Auditor
role at
Emory Healthcare Benefits
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
Overview
Be inspired. Be valued. Belong.
Benefits
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:
Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition. Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation is needed. Works with Coders and CDSs to draft and initiate physician queries. Performs reviews in a timely manner to maintain DNFB target of 4 days. Provides Coding development with coordination of educational and training programs regarding technical coding and clinical topics for the coding staff. Coordinates remediation when required. Coordinates with the Coding leadership, Quality nurses and the CDS team to educate physicians, nursing, and other clinical staff to improve documentation. Review¿s DRG Reassignment letters and assists in formulating Appeal letters
Minimum Qualifications
Certified Coding Specialist (CCS) certification. RHIA/RHIT preferred. Minimum five (5) years experience with coding ICD-10 in an acute care setting. Previous experience in performing DRG coding audits. Possesses 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
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org . Please note that one week's advance notice is preferred. Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
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Inpatient DRG Coding Auditor
role at
Emory Healthcare 2 days ago Be among the first 25 applicants Join to apply for the
Inpatient DRG Coding Auditor
role at
Emory Healthcare Benefits
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
Overview
Be inspired. Be valued. Belong.
Benefits
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:
Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition. Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation is needed. Works with Coders and CDSs to draft and initiate physician queries. Performs reviews in a timely manner to maintain DNFB target of 4 days. Provides Coding development with coordination of educational and training programs regarding technical coding and clinical topics for the coding staff. Coordinates remediation when required. Coordinates with the Coding leadership, Quality nurses and the CDS team to educate physicians, nursing, and other clinical staff to improve documentation. Review¿s DRG Reassignment letters and assists in formulating Appeal letters
Minimum Qualifications
Certified Coding Specialist (CCS) certification. RHIA/RHIT preferred. Minimum five (5) years experience with coding ICD-10 in an acute care setting. Previous experience in performing DRG coding audits. Possesses 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
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org . Please note that one week's advance notice is preferred. Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Accounting/Auditing and Finance Industries Hospitals and Health Care Referrals increase your chances of interviewing at Emory Healthcare by 2x Get notified about new Auditor jobs in
Atlanta, GA . Atlanta, GA $87,000 - $102,000 23 hours ago Internal Auditor 2 - Sign On Bonus Available!
Controller ($130,000 - $150,000 salary plus 10% bonus)
Staff Auditor/Advisor - Mergers & Acquisitions (Peachtree Corners)
Senior Corporate Auditor, Finance Leadership Development
Decatur, GA $57,125.00 - $91,971.00 1 day ago Atlanta, GA $85,000.00 - $95,000.00 2 weeks ago Senior Internal Auditor (Asset Management Required)
Atlanta, GA $155,000.00 - $185,000.00 2 weeks ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr