HIM DRG Denial Coordinator

Cook Children's; Texas; A distancia; USD 34.000 - 52.000; A tiempo parcial

Descripción de la vacante

Cook Children’s is seeking a DRG Denial Coordinator in Remote - TX for the HIM-Coding department. This part-time role (20 hours per week) focuses on managing DRG denial correspondence, organizing denial letters by third-party payors, and accurately analyzing data for coding and compliance.

You will review and abstract data into the correct fields, identify root causes and financial impact, and present payer denials to Physician Advisors and the CDI Director for review.

Formación

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

Responsabilidades

• Manage and maintain DRG Denials correspondence.
• Review and organize denial letters by third-party payor.
• Analyze and abstract key data information into proper data fields.
• Identify root cause and financial impact.
• Present payer denial letters to Physician Advisors and CDI Director for review.

Conocimientos

Inpatient coding

Regulatory compliance

Data analysis

Educación

Associate degree in HIM, Business or related field

Descripción del empleo

HIM DRG Denial Coordinator# Careers at Cook Children's## HIM DRG Denial CoordinatorApply: Remote - TX: Part time: Posted Today: JR-120192**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.