DRG Analyst
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Job Description
Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact.

As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities.Here at Change Healthcare, we're using our influence to drive positive changes across the industry, and we want motivated and passionate people like you to help us continue to bring new and innovative ideas to life.

If you're ready to embrace your passion and do what you love with a company that's committed to supporting your future, then you belong at Change Healthcare.

Pursue purpose. Champion innovation. Earn trust. Be agile. Include all.

Empower Your Future. Make a Difference.

Responsibilities

Performs DRG Audits by applying extensive knowledge of coding guidelines while maintaining productivity targets.

* Demonstrates ability to appropriately apply coding guidelines to a variety of claims scenarios and effectively utilize audit tools to maximize savings.

* Demonstrates ability to research criteria and evaluate it for accuracy.

* Works independently to meet or exceed productivity and accuracy goals.

* Communicates audit findings with excellent grammar and writing skills.

* Performs appeal reviews and responds to provider disputes for coding audits.

* Screens claims data including MS-DRG and APR-DRG data.

* Maintains current knowledge of coding guidelines, reimbursement trends, and client expectations.

* Demonstrates commitment to Change Healthcare core values.

* The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

Minimum Requirements (Required):

  • Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS)
  • Minimum of 3 years of experience as an acute inpatient coder or related coding experience
  • Competency in ICD-10 CM & PCS

Critical Skills (Required):

  • Ability to perform in-depth analysis of medical record documentation relating to diagnoses and procedures
  • Ability to use software, hardware, and peripherals related to job responsibilities, including MS Office
  • Excellent spoken and written communication skills
  • Excellent analytical, organizational, and prioritization skills
  • Ability to learn quickly and multi-task in a fast-paced environment
  • Must be self-motivated and able work independently

Education

Graduate of an accredited College or University

Physical Requirements

General Office Demands

Benefits & Company Statement
Change Healthcare is one of the largest, independent healthcare technology companies in the United States. We are a key catalyst of a value-based healthcare system working alongside our customers and partners to accelerate the journey towards improved lives and healthier communities.

We provide software and analytics, network solutions and technology-enabled services that help our customers obtain actionable insights, exchange mission-critical information, control costs, optimize revenue opportunities, increase cash flow and effectively navigate the shift to value-based healthcare. Our solutions enable improved efficiencies and insights for all major stakeholders across the healthcare system, including commercial and governmental payers, employers, hospitals, physicians and other providers, laboratories and consumers.

Change Healthcare is an equal opportunity and affirmative action employer minorities/females/veterans/persons with disabilities.

Qualified applicants will not be disqualified from consideration for employment based upon criminal history.

Agency Statement
No agencies please.

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

Equal Opportunity/Affirmative Action Commitment

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.


Change Healthcare is an Equal Opportunity Employer. Employment at Change Healthcare is based upon your individual merit and qualifications. We don't discriminate on the basis of race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, marital status, protected veteran status or disability, genetic characteristic, or any other characteristic protected by applicable federal, state or local law. We will also make all reasonable accommodations to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability.

 

Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Experience
3+ years
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