Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Provide clinical leadership in an inter disciplinary team in a professional, knowledgeable, and efficient manner to drive client results, exceed client expectations, and foster client confidence Maintain a functional and collaborative relationship with the DRG Coding Auditor to achieve shared company goals Comply with medical and federal guidelines at all times Resolve co

Overseeing the Client Success support team Training and mentoring Managers to be the customer experience experts for key accounts Collaborate with Operations to develop processes to be used by Operations to achieve expected outcomes Understand the problems and challenges of clients and identify ways Operations can better address those needs Establish process to support es

Consistently ensure data accuracy in the HR systems including signatures for compliance on documents such as job descriptions, policies, employee handbook, etc. Support tracking and monitoring for employee credentials and other data as required in support of the organization's HITRUST and SOC compliance. Provide support on benefits administration, including but not limite

Performs IP coding quality assurance (QA) reviews Maintains turnaround time expectations to minimize impact to client DNFB Maintains an up to date working knowledge of MS DRG, APR DRG, ICD 10 CM/PCS coding Identifies, applies, and validates the use of current industry standard clinical indicators, risk factors and treatment protocols/order sets used in clinical validation

Adhere to and maintain required levels of productivity and quality performance KPIs Maintain up to date coding knowledge by reviewing materials disseminated/recommended by the Physician Staff, Coding and CDI Leadership Participate in Coding department meetings and educational events as assigned Maintain a collegial working relationship with CDI and Coding and Client Succe

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Coach Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS compliant query gui

Adhere to and maintain required levels of performance in both coding accuracy and productivity in relation to closing queries Appropriate assignment of ICD 10 CM/PCS codes Appropriate assignment of MS DRGs and APR DRGs through the use of an encoder/grouper Abstract data in accordance with client specifications (i.e., discharge disposition, performing MD, SPARCs) as needed

Adhere to and maintain required levels of performance in both coding accuracy and productivity in relation to closing queries Appropriate assignment of ICD 10 CM/PCS codes Appropriate assignment of MS DRGs and APR DRGs through the use of an encoder/grouper Abstract data in accordance with client specifications (i.e., discharge disposition, performing MD, SPARCs) as needed

Provide clinical leadership in an inter disciplinary team in a professional, knowledgeable, and efficient manner to drive client results, exceed client expectations, and foster client confidence Maintain a functional and collaborative relationship with the DRG Coding Auditor to achieve shared company goals Comply with medical and federal guidelines at all times Resolve co

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Coach Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS compliant query gui