DRG Reviewer

Location:  New York City / Manhattan

Organization:  Acute Care Hospital

Overview: World-class acute care hospital, closely affiliated wtih the NewYork-Presbyterian Hospital System, is seeking a DRG Reviewer to provide 2nd-level coding review. This position will be integral in helping ensure an optimized and successful transition to ICD-10. The successful DRG Reviewer candidate will:

• Ensure charts are coded accurately; capture all revenue opportunities while maintaining compliance guidelines and quality initiatives
• Conduct daily 2nd-level pre-billing coding review for both AMS and Inpatient records
• Review current changes to coding guidelines and coding clinics with coding staff
• Review RAC and/or 3rd party DRG denials; work with Patient Accounts to correct problems related to conversions, cancellations and problem accounts
• Support CDI program during both the implementation phase (as a backfill coder) and as a resource to CDI staff once the program is fully implemented
• Identify opportunities for coder education and improvement

Minimum Requirements:
• 5+ years Inpatient Coding Experience
• 2+ years as a Reviewer
• AHIMA or AAPC Coding credentials (CCS, CPC, CPC-H)
• Minimum H.S. Diploma/GED (Associate’s degree preferred)

For a copy of the formal job description, compensation and other employer details, please submit your resume and contact information on the right.