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Remote DRG Validator

Remote DRG Validator

Virtual Desk Jobs
March 1, 2022
Telecommute, Smithtown, New York
Job Type
Job ID
Virtual Desk Jobs
$18.00 - $35.00 per hour
Education Requirements
High school


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:
    • Correct principal diagnosis selection and to check if co-existing diagnoses exist during the time of the admission
    • Appropriate secondary diagnoses including, but not limited to, complications, co-morbidities, and major CC’s
    • Correct procedure code(s) selection
    • Proper sequencing
    • Accuracy of Hospital-Acquired Condition (HAC) code
    • The severity of Illness (SOI) and Risk of Mortality (ROM) classification validation
    • Present On Admission (POA) indicator
    • Correct discharge status
    • 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


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
Life Insurance
401K Plan
Paid Time Off (PTO)

Pay: $18.00 - $35.00 per hour

Apply To Become A Medical Coding Agent: - Please reference agent ID code VDJAmyR.

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

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