DRG Specialist

3 days ago


Merrifield, Virginia, United States BlueWave Solutions Full time

Job Summary

We are seeking a highly skilled DRG Specialist to join our team at BlueWave Solutions. As a key member of our revenue assurance team, you will play a critical role in ensuring the accuracy and completeness of our coding and billing processes.

Key Responsibilities

  • Coding of diagnoses and procedures with case closure and release for billing
  • Revenue assurance through case review for plausibility and completeness
  • Review of all DRG-relevant facts in dialogue with the medical and nursing service and based on the medical record/electronic documentation
  • Participation in the preparation of OPS structure audits of the MD
  • Further training to become a team leader for DRGs possible after successful training

Requirements

  • Strong understanding of DRG coding and revenue assurance principles
  • Excellent analytical and problem-solving skills
  • Ability to work independently and as part of a team
  • Strong communication and interpersonal skills

What We Offer

At BlueWave Solutions, we offer a dynamic and supportive work environment, opportunities for professional growth and development, and a competitive compensation package.