Remote HIM DRG Denials Coordinator – Part Time

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

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.