DRG Validation Specialist

Nadia Gruzd

Nashville, Tennessee

JOB DETAILS
SKILLS
Corporate Policies, Data Quality, Diagnosis-Related Group (DRG), Incentive Programs, Medical Coding, Medical Treatment, Patient Care, Quality Metrics
LOCATION
Nashville, Tennessee
POSTED
15 days ago
  • 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  


About the Company

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Nadia Gruzd