Job details
Job type full-time
Full job description
Accuity delivery systems was founded in 2016 with the goal of reinventing the clinical documentation process through md case review, and md to md educationOver the last five years, we have experienced rapid growth and are excited to continue in growing our team nationwideLearn more about us at www.accds.com.
Under direct supervision from the drg team manager, the drg validation specialist works side by side with our team physicians simultaneously reviewing coded medical records pre-billThe drg validation specialist reviews the record in accordance of federal coding regulations and guidelines as well as client specific coding guidelines as the record pertains to appropriate drg assignmentThe drg validation specialist uses knowledge of accuity delivery systems (accds) technology and client systems and procedures to provide a second level review of codes assigned to medical diagnoses and clinical procedures that ensure accurate drg assignmentAdditionally, the drg validation specialist provides regular feedback to accds coding staff.
Primary responsibilities
Reviews medical record documentation to determine appropriate drg assignment by identifying those diagnosis and procedure codes that support the drg assigned
Utilizes accds technology for tracking of coding errors, query opportunities and other data collection as needed
Provides individual and group education and training on accurate coding practices
Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding and denials
Interacts with accds physicians, coders, and cdi regarding documentation, policies, procedures, and regulations
Trains, instructs, and/or provides technical support to accds physicians, coders, and cdi as appropriate regarding coding compliance documentation and regulatory provisions
Reviews, develops, modifies, and/or adapts relevant client procedures, protocols, and systems to coordinate with accds methodology
Interacts with management on an ongoing basis
Ensures strict confidentiality of patient medical records
Attends in-house training sessions to receive updated coding information and changes in coding and/or regulations
Codes medical records as needed based on organizational needs
Performs miscellaneous job-related duties as assigned
Education:
High school diploma or ged required
Associates degree in health information management or similar preferred
Experience:
Minimum 4 years of inpatient coding experience in hospital facility coding, 5 years or more preferred
Icd-10 experience required
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)
Licensure/credentials:
Coding credential required from ahima or aapc (rhia, rhit, ccs, and/or cpc)
Knowledge, skills, and abilities:
Knowledge of auditing concepts and principles
Working knowledge of coding guidelines
Ability to use independent judgement and to manage and impart confidential information
Advanced knowledge of medical coding, electronic medical record systems, coding systems
Ability to analyze and solve problems
Strong communication and interpersonal skills
Knowledge of legal, regulatory, and policy compliance issues related to medical coding and documentation
Knowledge of current and developing issues and trends in medical coding diagnosis and procedure code assignment
Ability to clearly communicate medical information to physicians and cdis staff
Ability to provide guidance and training to accds coding and cdis staff
Ability to use a pc in a windows environment, including ms word
Independent, focused individual able to work remotely or on-site
