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Emory Healthcare/Emory University Inpatient DRG Coding Auditor-Full-Time Mon-Fri 7:30a-4p-Remote in Atlanta, Georgia

Overview

Must have Hospital Acute Care experience in order to be considered.

Candidates are required to take a coding skills assessment within 5 days of contact and must have a passing score of 95% or higher for consideration.

100% Remote Worker, may be required to pay Georgia and current resident state taxes.

Description

JOB DESCRIPTION:

  • 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.

PHYSICAL REQUIREMENTS (Medium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 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 environment 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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Division Emory Healthcare Inc.

Campus Location Atlanta, GA, 30345

Campus Location US-GA-Atlanta

Department EHI Health Records Integrity

Job Type Regular Full-Time

Job Number 96463

Job Category Revenue Cycle & Managed Care

Schedule 7:30a-4p

Standard Hours 40 Hours

Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.

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