Job Description
JOB DESCRIPTION The DRG Quality Analyst is responsible for performing an in-depth quality review of inpatient medical records to ensure that the DRG Auditor validated the billed diagnoses, POA, procedures, discharge disposition and DRG codes in accordance with the medical record documentation and in compliance with IPPS methodology. Quality Analyst is responsible for mentoring and training the DRG Auditors to reach the quality SLA. Provide ongoing feedback and education to coding staff. ESSENTIAL CRITERIA: Bachelor's in science/ Bachelor's in nursing Certified
- CCS
- Certified Coding Specialist, CIC
- Certified Inpatient Coder, CPC
- Certified Professional Minimum 5 years' experience in IP DRG coding or auditing. Minimum 1- 2 years' experience in Quality. DESIRABLE CRITERIA: Auditing experience on IP DRG. Knowledge in Microsoft outlook/excel/word. Exposure on 3M software and NLP tool. ADDITIONAL AND ESSENTIAL RESPONSIBILITIES: Follow every aspect of SO...
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