Remote DRG Denials Coordinator – Inpatient Coding Pro

CCMC Cook Children's Medical Center; Texas; Híbrido; USD 65.000 - 90.000; Jornada completa

Descripción de la vacante

Cook Children’s Medical Center is seeking a DRG Denials Coordinator in the HIM-Coding department to manage and streamline DRG denials communications. You will review denial letters from third-party payors, analyze and abstract data into the correct fields, and identify root causes and financial impact.

You will present payer denials to Physician Advisors and the CDI Director for review, applying inpatient coding knowledge (ICD-10-CM/PCS) and regulatory compliance requirements to support accurate

Formación

• 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.

Responsabilidades

• Manage and maintain DRG Denials correspondence.
• Review and organize denial letters by third-party payor, analyze and abstract data into proper fields.
• Identify root cause and financial impact; present payer denials to Physician Advisors and CDI Director for review.

Conocimientos

Inpatient coding

ICD-10-CM/PCS

Regulatory compliance

Educación

Associates degree in HIM, Business or related field

Descripción del empleo

Cook Children’s Medical Center is seeking a DRG Denials Coordinator in the HIM-Coding department to manage and streamline DRG denials communications. You will review denial letters from third-party payors, analyze and abstract data into the correct fields, and identify root causes and financial impact.

You will present payer denials to Physician Advisors and the CDI Director for review, applying inpatient coding knowledge (ICD-10-CM/PCS) and regulatory compliance requirements to support accurate