Inpatient DRG Coding Auditor

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. Benefits Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Responsibilities 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 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 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. 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. #J-18808-Ljbffr