DRG Validation Specialist

Nadia Gruzd

  • Nashville, Tennessee
  • 30+ days ago

    Highlights

    Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient coding across multiple HSCs. Demonstrates and applies expert level knowledge of medical coding practices and concepts.

    Numbers & Facts

    LocationNashville, Tennessee

    Description

    • Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient coding across multiple HSCs 
    • Assists in ensuring HSC coding staff adherence with coding guidelines and policy 
    • Demonstrates and applies expert level knowledge of medical coding practices and concepts 
    • Participates on special reviews or projects 
    • Maintains or exceeds 95% productivity standards 
    • Maintains or exceeds 95% accuracy 
    • Meets all educational requirements as stated in current Company policy 
    • Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current  


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