DRG Integrity Specialist

• High School Diploma or GED required
• Associates Degree in Health Information Management or similar preferred

• Minimum 4 years of inpatient coding experience in hospital facility coding
• Minimum 2 years of experience that is directly related to the duties and responsibilities specified above
• Experience and knowledge in DRG reimbursement (i.e., MS-DRG, APR-DRG)

Licensure and/or Credentials:

• Coding credential required from AHIMA/AAPC (RHIA, RHIT, CCS and/or CPC, or CIC)

• Knowledge of auditing concepts and principles
• Expert of coding guidelines Ability to use independent judgment and to manage and impart confidential information
• Advanced knowledge of medical coding, electronic medical record systems, coding systems
• Critical thinking skills to analyze and solve problems
• Strong communication and interpersonal skills
• Knowledge of legal, regulatory, and policy compliance issues related to medical coding and documentation
• Knowledge of current and developing issues and trends in medical coding diagnosis and procedure code assignment
• Ability to clearly communicate medical information to physicians and CDIS staff
• Ability to provide guidance and training to when needed
• Ability to use a PC in a Windows environment, including MS Word
• Independent, focused individual able to work remotely or on-site

The requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without reasonable accommodations.

Unless otherwise indicated, Accuity positions require interaction with people and technology while either sitting or standing.

Employees must be able to communicate via phone, email, etc. and sit for extended periods of time, with or without reasonable accommodations.

Physical effort and exposure to physical risk are limited to that of an office role environment.

While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add or remove duties from a job and to assign other duties as necessary and at any time.

All positions at Accuity are at-will employment, and a position description is not a guarantee of a job or of job responsibilities.