Remote - Inpatient DRG Coding Auditor
总结：受启发。受到重视。属于。在艾莫里医疗保健，我们为你的职业旅程提供更好的福利，有价值的资源，持续的指导和领导计划，为所有类型的工作提供支持性环境，使你能够达到新高点，成为自己想要的样子。我们提供：· 从第一天开始的全面健康福利 ·学生贷款偿还援助与退还方案 ·家庭专注的福利 · 健康激励措施 ·持续的指引，发展，领导方案 · 以及更多位置：远程此职位是遥远；然而，申请人必须在以下州之一的物理位置和工作授权：阿拉巴马，阿肯色州，佛罗里达州，格鲁吉亚州，伊利诺伊州，路易斯安那州，密歇根州，新罕布什尔州，北卡罗来纳州，俄俄州，宾夕法尼亚州，南卡罗莱纳州，田内西州，德克萨斯州，弗吉尼亚州，威斯康辛州职业描述：· 审核退学后和预计付费者群体的住院医疗记录；对诊断和程序编码，DRG 分配以及抽象数据 POA,DISC. ·审查临床文档专家 (CDS) DRG 与编码器 DRG 之间的差异。审查非 CC/MCC 记录，以确定是否有错误编码或需要额外的文档。· 与编码人员和 CDS 合作起草并启动医生查询。及时进行审查，以维持 DNFB 目标4天。·为编码人员提供编码计划与协调技术编码和临床主题相关教育和培训方案。在必要时协调修复。与编码领导层，质量护士和 CDS 团队协调，培养医生，护理和其他临床工作人员来改善文档。评论的 DRG 重新分配信件和协助制定上诉书 要求的最低资格：· 教育：高中文凭经验：在急症监护环境下编码 ICD-10至少五 (5) 年经验。在执行 DRG 编码审计方面前 experience. ·认证：认证编码专家 (CCS) 认证。技能：1.掌握 DRG 和组合方法学知识 （MS DRG 和 AP DRG）;特别是哪些诊断/程序影响了 DRG 分配。2.文字处理和电子表使用方面的基本计算机技巧。3.培养关系需要卓越的人际技能。
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Overview
Be inspired. Be valued. Belong. At Emory Healthcare
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
· Comprehensive health benefits that start day 1
· Student Loan Repayment Assistance & Reimbursement Programs
· Family-focused benefits
· Wellness incentives
· Ongoing mentorship, development, leadership programs
· And more
LOCATION:
Remote
This position is remote; however, applicants must be physically located and authorized to work in one of the following states: Alabama, Arkansas, Florida, Georgia, Illinois, Louisiana, Michigan, New Hamsphire, North Carolina, Ohio, Pennsylavnia, South Caroline, Tennessee, Texas, Virginia, Wisconsin Description
JOB DESCRIPTION:
- Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition.
- Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation is needed.
- Works with Coders and CDSs to draft and initiate physician queries. Performs reviews in a timely manner to maintain DNFB target of 4 days.
- Provides Coding development with coordination of educational and training programs regarding technical coding and clinical topics for the coding staff. Coordinates remediation when required. Coordinates with the Coding leadership, Quality nurses and the CDS team to educate physicians, nursing, and other clinical staff to improve documentation. Review's DRG Reassignment letters and assists in formulating Appeal letters
Minimum Required Qualifications:
- Education: High school diploma Experience: Minimum five (5) years experience with coding ICD-10 in an acute care setting. Previous experience in performing DRG coding audits.
- Certification: Certified Coding Specialist (CCS) certification. Skills: 1. Possesses knowledge of DRG and grouping methodologies (MS DRG's and AP DRG's); in particular what diagnoses / procedures impact DRG assignment. 2. Basic computer skills in word processing and spreadsheet utilization. 3. Excellent interpersonal skills to develop relationships necessary to facilitate and educate. 4. Excellent prioritization and organizational skills. Preferred Qualifications: Education: Bachelor's degree in related field Certification: RHIA/RHIT.
PHYSICAL REQUIREMENTS:
(Medium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS:
Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock , Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.
Additional Details
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at . Please note that one week's advance notice is preferred.
Originally posted on Himalayas