DRG Validation Specialist

Job Description 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 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