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Emory Healthcare

Academic medical center delivering patient care

Inpatient DRG Coding Auditor

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeRemote in USANo salary listed

About the Job

Requirements

  • A high school diploma is required.
  • At least five years of experience coding ICD-10 in an acute care setting is required.
  • Previous experience performing DRG coding audits is required.
  • Certified Coding Specialist (CCS) certification is required.
  • Knowledge of DRG and grouping methodologies, including MS-DRG and AP-DRG, and of the diagnoses and procedures that affect DRG assignment is required.
  • Basic computer skills in word processing and spreadsheet use are required.
  • Interpersonal skills to develop relationships needed to facilitate and educate are required.
  • Prioritization and organizational skills are required.
  • Applicants must be physically located and authorized to work in one of the listed states: Alabama, Arkansas, Florida, Georgia, Illinois, Louisiana, Michigan, New Hampshire, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, or Wisconsin.

Responsibilities

  • Review inpatient medical records for select payer populations after discharge and before billing; audit the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data including POA and discharge disposition.
  • Review discrepancies between the Clinical Documentation Specialist DRG and the coder DRG.
  • Review non-CC/MCC records to determine whether the record was miscoded or additional documentation is needed.
  • Work with coders and Clinical Documentation Specialists to draft and initiate physician queries.
  • Complete reviews in a timely manner to maintain the DNFB target of four days.
  • Coordinate educational and training programs for coding staff on technical coding and clinical topics.
  • Coordinate remediation when required.
  • Coordinate with coding leadership, quality nurses, and the Clinical Documentation Specialist team to educate physicians, nursing staff, and other clinical staff to improve documentation.
  • Review DRG reassignment letters and assist in formulating appeal letters.

Desired Qualifications

  • A bachelor's degree in a related field is preferred.
  • RHIA or RHIT certification is preferred.

About the Company

Emory Healthcare

Academic medical center delivering patient care

Emory Healthcare provides hospital-based medical care and supports a broad range of health services, from routine treatment to complex medical interventions. The organization combines clinical practice with medical research to advance treatments and patient outcomes. Its approach emphasizes expertise, collaboration, and compassionate care to improve lives inside hospitals and in the wider community. Emory Healthcare differentiates itself through high-quality patient care, active research programs, and a culture that prioritizes excellence and humanity. The overarching goal is to deliver excellent patient outcomes while expanding knowledge through research and education, ultimately improving health outcomes for patients locally and beyond.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
Conyers, GA
Founded
2015

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