Remote DRG Integrity & Coding Specialist

Accuityhealthcare; Northern (KY); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Accuityhealthcare is seeking a DRG Integrity Specialist to perform secondary reviews of inpatient records, ensuring accurate DRG assignments through coding knowledge and adherence to federal regulations and client guidelines.

The role collaborates with physicians, CDIS, and management to improve processes, training, and coding accuracy while maintaining confidentiality and meeting deadlines. Remote or on-site work options are available.

Qualifications

• High school diploma or GED required.
• Associate degree in Health Information Management or similar preferred.
• Minimum 4 years inpatient coding experience in hospital facility coding.
• Minimum 2 years of related duties experience.
• Experience with DRG reimbursement (MS-DRG, APR-DRG).
• Coding credentials required (RHIA, RHIT, CCS, CPC, CIC).

Responsibilities

• Review pre-bill cases with a physician to validate diagnosis and procedure codes for inpatient services.
• Utilize Accuity technology to track coding errors and opportunities.
• Research, analyze, and respond to inquiries regarding compliance, inappropriate coding, and client denials.
• Meet coding recommendations, accuracy rate and production standards.
• Interact with Accuity physicians, peers, CDIS, and management on documentation and regulations.
• Assist senior staff with process improvement to meet productivity and quality goals.
• Review and adapt client procedures to align with Accuity methodology.
• Provide group education and training on accurate coding practices.
• Attend trainings to stay updated on coding information and regulatory changes.
• Maintain strict confidentiality of patient medical records.
• Codes medical records as needed and perform miscellaneous duties.

Skills

Auditing concepts

Independent judgment

Confidential handling

Medical coding knowledge

Communication skills

Regulatory compliance awareness

Problem solving

Windows OS

MS Word

Education

High School Diploma or GED

Associates Degree in Health Information Management

Tools

EMR systems

Windows OS

MS Word

Job description

Accuityhealthcare is seeking a DRG Integrity Specialist to perform secondary reviews of inpatient records, ensuring accurate DRG assignments through coding knowledge and adherence to federal regulations and client guidelines.

The role collaborates with physicians, CDIS, and management to improve processes, training, and coding accuracy while maintaining confidentiality and meeting deadlines. Remote or on-site work options are available.