DRG Validation Specialist

All Med Search

Nashville, TN

Job Description

Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient coding across multiple HSCs
Assists in ensuring HSC coding staff adherence with coding guidelines and policy
Demonstrates and applies expert level knowledge of medical coding practices and concepts
Participates on special reviews or projects
Maintains or exceeds 95% productivity standards
Maintains or exceeds 95% accuracy
Meets all educational requirements as stated in current Company policy
Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current

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Vacancy posted 29 days ago

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