Remote DRG Specialist — Audit & Compliance Expert

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

Job summary

UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within our Coding Department. This position will be a work-from-home position working during standard business hours Monday through Friday.

In this role, you will review clinical documentation within the medical record to ensure that all patient resource utilization, diagnostic complications and co-morbidities have been coded in compliance with coding guidelines, third-party payer and OIG regulations.

Responsibilities

• Review DRG medical records for accurate coding and sequencing.
• Meet with coding management to review progress and discuss audits.
• Assist in physician queries and documentation improvements.

Job description

UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within our Coding Department. This position will be a work-from-home position working during standard business hours Monday through Friday.

In this role, you will review clinical documentation within the medical record to ensure that all patient resource utilization, diagnostic complications and co-morbidities have been coded in compliance with coding guidelines, third-party payer and OIG regulations.