Responsible to assist with writing appeals for Diagnosis Related Group, (DRG) denials in order to support the assigned Diagnosis Related Group, (DRG) and to address the clinical documentation utilized in the decision-making process to support the validity of the assigned codes.
Strong EMR experience required. Experience to facilitate and complete inpatient and outpatient coding audits. Communicates audit results both verbally and in writing in an approved, appropriate format. Assist with development and coordination of audit plans.
Excellent ability to communicate ideas both verbally and in writing to interact with others using on-on-one contact and group discussions. Ability to recognize the appropriate style, level of detail, and message for the audience.