DRG Validation Specialist
Nashville, TN
- Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient coding across multiple HSCs
- Assists in ensuring HSC coding staff adherence with coding guidelines and policy
- Demonstrates and applies expert level knowledge of medical coding practices and concepts
- Participates on special reviews or projects
- Maintains or exceeds 95% productivity standards
- Maintains or exceeds 95% accuracy
- Meets all educational requirements as stated in current Company policy
- Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
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