Remote DRG Validator

Job Responsibilities:
• Perform remote review of selected inpatient discharges from Client’s editing program for DRG validation purposes utilizing Client’s encoder software, clinical information system, and abstracting system
• Perform a comprehensive review of the inpatient discharges to confirm:
o Correct principal diagnosis selection and to check if co-existing diagnoses exist during the time of the admission
o Appropriate secondary diagnoses including, but not limited to, complications, co-morbidities, and major CC’s
o Correct procedure code(s) selection
o Proper sequencing
o Accuracy of Hospital-Acquired Condition (HAC) code
o The severity of Illness (SOI) and Risk of Mortality (ROM) classification validation
o Present On Admission (POA) indicator
o Correct discharge status
o Potential for conditions relative to Patient Safety Indicators (PSI)
• Perform the review based on AHA Coding Clinic for ICD-10-CM guidelines, CMS ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting, and Uniform Hospital Discharge Data Set definitions
• Assess if the clinical documentation supports the diagnoses and procedure codes reported
• Enter coding changes found into the internal database tracking system
• Release all change discharges in Client’s abstracting system and/or DRG editing system
• Display a positive attitude within the organization in support of the organization’s programs and mission
• Promotes effective working relations and works effectively as part of a department/unit team to facilitate goals and objectives
• Maintains confidentiality of all hospital and patient information

Requirements

Education and Experience:

High School diploma or equivalent
• RHIA, RHIT, CCS or CPC credential required
• 3 – 5 years’ of inpatient coding and DRG validation experience in an acute care setting

Skills and Abilities:
• Extensive knowledge of AHA coding guidelines and ICD-10-CM/PCS coding system
• Knowledge of MS-DRG and NYS-APR grouper logic, and CMS regulations is required
• Strong analytical and communication skills with attention to detail
• Ability to work independently under minimal supervision
• PC proficient, having a functional knowledge of facility EMR, encoder, and other support software

Compensation and Benefits:

Competitive; commensurate with experience
Medical/Dental/Vision
Life Insurance
401K Plan
Paid Time Off (PTO)

Pay: $18.00 - $35.00 per hour

Apply To Become A Medical Coding Agent:

https://virtualdeskjobs.com///join-now/ - Please reference agent ID code VDJRenaeW.

Please contact us directly to discuss remote medical coding job openings at 405-494-0214.

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Office, Inpatient Coding and DRG Coding Skills