HIM DRG Denial Coordinator

Cook Children's Health Care System; Texas; Remote; USD 65,000 - 90,000; Full time

Job summary

Cook Children's Health Care System is seeking a DRG Denials Coordinator within the HIM-Coding department. This remote Texas-based role focuses on managing DRG denials correspondence and coordinating with payors, physicians, and CDI leadership.

The position requires inpatient coding expertise (ICD-10-CM/PCS), strong regulatory knowledge, and an associates degree in HIM or related field; RHIA or RHIT certification is preferred but not always mandatory.

Qualifications

• Three years inpatient coding experience with ICD-10-CM/PCS required.
• In lieu of education requirements, 5 years of acute care or 5 years inpatient coding experience required.
• Must have strong knowledge of Coding regulations and regulatory compliance experience.

Responsibilities

• Manage and maintain DRG Denials correspondence.
• Review and organize denial letters by third-party payor.
• Accurately analyze and abstract key data into proper data fields.

Skills

Inpatient coding

ICD-10-CM/PCS

Regulatory compliance

Data abstraction

Education

Associates degree in HIM, Business or related field

Job description

Location:

Remote - TX

Department:

HIM-Coding

Shift:

First Shift (United States of America)

Standard Weekly Hours:

20

Summary:

The DRG Denials Coordinator is responsible for managing and maintaining the DRG Denials correspondence. Responsible for reviewing and organizing denial letters by third-party payor, accurately analyzing and abstracting key data information into the proper data fields. Identify root cause and financial impact. Presents all payer denial letters to Physician Advisors and CDI Director for review.

Experience

• Three years Inpatient coding experience with ICD-10-CM/PCS required.
• In Lieu of education requirements, 5 years of acute care or 5 years inpatient coding experience required.
• Must have strong knowledge of Coding regulations and regulatory compliance experience.

Education

• Associates degree in HIM, Business or related field required.

Licensure, Registration, and/or Certification

• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT)

About Us:

Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

Cook Children's is a Texas-only employer. If you are hired, you will need to maintain your primary residence within the state of Texas, along with all licenses and credentials required for your position throughout your employment.