Job Description
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DRG Validator
Location : Atlanta, GA
Job Type : Full Time Remote
Shift/Schedule : Days
JOB SUMMARY
The Diagnosis Related Group (DRG) Validator, is responsible for reviewing inpatient coded records records in accordance with Uniform Hospital Discharge Data Set (UHDDS) Definitions to validate an inpatient admit order, assignment of and sequencing of ICD-10-CM/PCS principal and secondary diagnoses, principal and secondary procedures, the discharge disposition codes and the DRG Assignment. Solid knowledge of MS-DRG, APR-DRG (SOI/ROM), Coding Guidelines, American Hospital Association (AHA) Coding Clinic and Present on Admission (POA) Indicator Guidelines. All HACs, PSIs and focused MS-DRGs are identified by PWC SMART Application. Collaborates with Quality Department for 2nd Level quality review of all Hospital Acquired Conditions (HACs) and selected AHRQ Patient Safe...
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