Denials Coding Specialist (DRG Hospital Inpatient)

Gundersen Health System•Winnipeg, MN

2d•Hybrid

About The Position

The Denials and Coding Specialist – DRG Hospital Inpatient primarily manages payor DRG denials across Gundersen and Bellin regions. This role reviews inpatient medical records to assess coding accuracy, supports appeal processes, and ensures appropriate ICD-10-CM coding and DRG assignment to reflect the patient’s severity of illness and level of care.

Requirements

Post-high school education in a specialized field (Health Information Technician, Health Information Administrator, or equivalent allied health program), preferred associates degree in Health Information Technology
2 years of hospital coding experience (emergency, outpatient, professional services, or inpatient coding) required
DRG experience is preferred
One of the following: Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) OR Certified Outpatient Coder (COC) with 2 years of inpatient coding experience

Responsibilities

Manages payor DRG denials across Gundersen and Bellin regions.
Reviews inpatient medical records to assess coding accuracy.
Supports appeal processes.
Ensures appropriate ICD-10-CM coding and DRG assignment to reflect the patient’s severity of illness and level of care.