Accuity DRG Specialist

Accuity seeks a highly skilled DRG Integrity Specialist to join our team nationwide. As a valued member of our DRG Review Team, you will perform a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment.

Key Responsibilities:

• Review pre-bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment
• Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as needed
• Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, and client denials

Requirements:

• High School Diploma or GED required
• Associates Degree in Health Information Management or similar preferred

• Minimum 4 years of inpatient coding experience in hospital facility coding
• Minimum 2 years of experience that is directly related to the duties and responsibilities specified above
• Experience and knowledge in DRG reimbursement (i.e., MS-DRG, APR-DRG)