DRG Coach

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Job Details

DRG Coach

Job Overview

DRG Coach

Overview:

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Client need 5 DRG Coaches!
  • Comfortable with reviewing charts simultaneously with an MD focusing on DRG assignment and ensuring that the main drivers of DRG are coded in alignment with the clinical indicators
  • Requires a Test
  • Licensure and/or Credentials:
    • Coding credential required from AHIMA/AAPC (RHIA, RHIT, CCS and/or CPC)

Primary Responsibilities

  • Review pre-bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment
  • Utilizes Client's technology for tracking of coding errors, query opportunities and other data collection as needed
  • Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, and client denials
  • Possesses a high level of dependability and ability to meet Client's coding recommendations, accuracy rate, and production standards
  • Interacts with Clients' physicians, peers, CDIS, and management regarding documentation, policies, procedures, and regulations
  • Interacts with management on an ongoing basis including assisting senior level staff in providing recommendations for process improvement so that productivity and quality goals can be met or exceeded, and operational efficiency and financial accuracy can be achieved
  • Reviews, develops, modifies, and/or adapts relevant client procedures, protocols, and systems to coordinate with Client's  methodology
  • Creates and provides group education and training based on accurate coding practices, coding compliance documentation, and regulatory provisions
  • Attends in-house training sessions to receive updated coding information and changes in coding and/or regulations
  • Adheres to stringent timelines consistent with project deadlines and directives
  • Ensures strict confidentiality of patient medical records
  • Always acts in an ethical and collaborative manner while monitoring own work to help ensure quality
  • Codes medical records as needed based on organizational needs
  • Performs miscellaneous job-related duties as assigned

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