HIM DRG Denial Coordinator

Cook Children's Health Care System • Remote - TX, TX

3d • Remote

About The Position

The DRG Denials Coordinator manages and maintains DRG denial correspondence. The role reviews and organizes denial letters by third-party payor, analyzes and abstracts key information into the appropriate data fields, and identifies root causes and financial impacts. The coordinator presents all payer denial letters to Physician Advisors and the CDI Director for review.

This is a remote position for employees residing in Texas. Employees must maintain their primary residence in Texas and keep all required licenses and credentials current throughout employment.

Requirements

• Three years of inpatient coding experience with ICD-10-CM/PCS.
• An associate degree in HIM, Business, or a related field; alternatively, five years of acute care experience or five years of inpatient coding experience in lieu of education requirements.
• Strong knowledge of coding regulations and experience with regulatory compliance.
• RHIA or RHIT credential.
• Maintain primary residence in Texas and required licenses and credentials throughout employment.

Responsibilities

• Manage and maintain DRG denial correspondence.
• Review and organize denial letters by third-party payor.
• Analyze denial letters and abstract key information into appropriate data fields.
• Identify denial root causes and financial impacts.
• Present all payer denial letters to Physician Advisors and the CDI Director for review.

What This Job Offers

• Job Type: Part-time
• Education Level: Associate degree