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.