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: 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 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 VDJAmyR. Please contact us directly to discuss remote medical coding job openings at 405-494-0214. Chat live with our HR Recruiter:  https://tawk.to/chat/5c25356c82491369ba9faecc/default