| Job ID |
Specialty |
Geographic Location |
City |
State |
Recruiter |
| 2310710 |
Medical Coder |
MID WEST - REMOTE |
Milwaukee |
IA |
Acuity Search Solutions, Inc. |
Company Name: Acuity Search Solutions, Inc.
Recruiter Name: David Lutz
Contact Phone: 513-206-9881
Job Title: DRG Validator
In HouseID:
MID WEST - REMOTE (Only QUALIFIED Healthcare Professionals accepted) Medical Coder - Immediate need for a DRG Validation Specialist!!!
FULLY REMOTE
I have a Coding Quality Validation Specialist Position with one of the top Hospitals in the Country! This is a large Teaching|Trauma 1 Hospital that is ranked in the top 25 Hospitals in the country! I'd love to help you further your career by joining a team like this.
Call David at 513-206-9881
and|or send resumes to: dlutz@acuitymri.com
Job Summary and Responsibilities: The Coding Quality Validator is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to insure appropriate reimbursement
1. Reviews DRG assignment for selected Medicare|Medicaid inpatients, HAC, PSI and Healthgrade target diagnoses for the purpose of reimbursement, research and statistics in compliance with federal regulations according to ICD-9, ICD-10 and CPT-4 coding classification systems.
2. Analyzes physician documentation in the medical record for clinical correlation for coding accuracy and queries physicians when code assignments are not straightforward or documentation in the medical record is inadequate, ambiguous, or unclear for coding purposes.
3. Provides guidance on any changes made during their review to the Inpatient Coders by furnishing input as necessary in addition to education regarding applicable coding clinics or coding guidelines.
4. Analyzes clinical data of CDMP Severity Complexity worksheets and applies tracking codes.
5. Provides guidance to the Clinical Documentation Specialists by furnishing input as necessary in addition to education regarding applicable coding clinics or coding guidelines.
6. Performs data analysis and statistical gathering on a monthly basis with regards to DRG, CPT, Public Reporting, HAC compliance which is then presented to the Chief Compliance Officer
7. Makes recommendations on documentation improvement needs within the facility to improve patient care.
8. Applies POA indicators on all inpatient charts.
Licenses and Certifications Preferred:
1. RHIT OR RHIA
Call David at 513-206-9881
and|or send resumes to: dlutz@acuitymri.com
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