DRG Validation Specialist
Maine Medical Center•Scarborough, ME
3d•Remote
About The Position
MaineHealth is actively recruiting for a DRG Validation Specialist. This is a 100% remote opportunity. The DRG Validation Specialist job functions will include: reviews codes to validate DRG assignment appeals external audits processes Cloudmed recommendations resolves DRG matches between CDI and coding answers coding questions identifies opportunities for query composition improvement/compliance identifies educational needs creates educational materials
Requirements
- Associate's and/or Bachelor's Degree in Health Information Management or other science based degree such as Nursing required.
- Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) required.
- Three years of experience as an inpatient coder at a large acute care or academic teaching facility required.
- Auditing experience
- Strong oral and written communication skills
- Critical thinking and strong organizational skills
Nice To Haves
- Advanced coding skills and knowledge of revenue cycle, billing systems, EPIC Electronic Health Record and 3M Encoder, ICD 10 training, Computer Assisted Coding software (CAC)
Responsibilities
- reviews codes to validate DRG assignment
- appeals external audits
- processes Cloudmed recommendations
- resolves DRG matches between CDI and coding
- answers coding questions
- identifies opportunities for query composition improvement/compliance
- identifies educational needs
- creates educational materials
Benefits
- paid parental leave
- a flexible work policy
- student loan assistance
- training and education
- well-being resources for you and your family
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
5,001-10,000 employees
