DRG Validation Specialist

Job Description Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient coding across multiple HSCsAssists in ensuring HSC coding staff adherence with coding guidelines and policyDemonstrates and applies expert level knowledge of medical coding practices and conceptsParticipates on special reviews or projectsMaintains or exceeds 95% productivity standardsMaintains or exceeds 95% accuracyMeets all educational requirements as stated in current Company policyReviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current