DRG Validation Specialist

Nadia Gruzd
  • Nashville, Tennessee
    30+ days ago

    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  


    Numbers & Facts

    LocationNashville, Tennessee

    Skills

    • Corporate Policiesunmatched
    • Data Qualityunmatched
    • Diagnosis-Related Group (DRG)unmatched
    • Incentive Programsunmatched
    • Medical Codingunmatched
    • Medical Treatmentunmatched
    • Patient Careunmatched
    • Quality Metricsunmatched

    Be found by employers

    5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.

    Level up your application

    Professional resume templates

    Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

    Free resume templates

    Resume Builder

    Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

    Resume Builder