Certified DRG Validation Specialist

Job Summary

A company is looking for a DRG Validation Specialist.

Key Responsibilities

• Reviews codes to validate DRG assignment
• Processes external audit appeals and Cloudmed recommendations
• Identifies educational needs and creates educational materials

Required Qualifications, Training, and Education

• Associate's and/or Bachelor's Degree in Health Information Management or a related science-based degree
• Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) certification required
• Three years of experience as an inpatient coder at a large acute care or academic teaching facility
• Advanced coding skills and knowledge of revenue cycle and billing systems preferred
• ICD 10 training and familiarity with Computer Assisted Coding software (CAC) preferred