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DRG Validation Specialist

PublishedPublished: 6/14/2022
Technology

Job Description

Job Description

  • Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient coding across multiple HSCs
  • Assists in ensuring HSC coding staff adherence with coding guidelines and policy
  • Demonstrates and applies expert level knowledge of medical coding practices and concepts
  • Participates on special reviews or projects
  • Maintains or exceeds 95% productivity standards
  • Maintains or exceeds 95% accuracy
  • Meets all educational requirements as stated in current Company policy
  • Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current


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