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Coordinator, DRG

Requisition ID: NSH0001XB

Location: Lenox Hill Hospital
Schedule: Full Time
Shift: Day Job

Description:

As the DRG (Diagnosis Related Grouping) Coordinator, you will conduct coding audits to optimize diagnosis related groupings. In this role, you will develop and implement coding instruction classes, prepare coding guidelines, and implement coding changes.




Responsibilities include:
1. Develops and implements coding instruction classes.

  • Demonstrates comprehensive knowledge of ICD-9-CM and CPT-4 coding guidelines and principals.

2. Performs coding audits for DRG optimization.
  • Demonstrates effective skills in DRG validation.

3. Provides educational in-service to the coding and medical staff relating to DRG's.
  • Ability to communicate effectively with coders and medical staff.

4. Acts as liaison to consultants.
5. Prepares coding guidelines.
  • Demonstrates knowledge of coding policy and procedures.
  • Maintains knowledge of all current Federal and State coding guidelines

6. Remains up-to-date on DRG system literature from all agencies.
  • Knowledge, understanding of Federal and NYS DRG's.
  • Maintains coding clinic up-dates.

7. Monitors and evaluates case mix index.
  • Demonstrates comprehensive knowledge of case mix indexing.

8. Reviews potential DRG reassignments.
  • Demonstrates accurate and timely review of all DRG reassignments.

9. Implements coding changes.

  • Demonstrates ability to accurately and efficiently relate coding changes to staff.


Qualifications:

  • Bachelor's Degree in Health Care Administration, Nursing, or a related field, required.
  • RHIA, RHIT or RN, CCS, preferred.
  • Minimum of two (2) years progressively responsible experience including familiarity with ICD-9-CM coding, DRG optimization methodology and case mix reimbursement.


Our Culture

Transforming care, optimizing patient satisfaction and creating better patient outcomes are just some of the things our talented team members are doing at North Shore-LIJ each and every day. As a culture committed to providing our customers with the highest quality service, we stand behind our core values: Patients first; Caring; Excellence; Innovation; Integrity and Teamwork. It is our commitment and our culture that sets us apart from others and is the cornerstone of everything we do. Join an organization whose team members are valued, cared for and offered continuous opportunities to grow. Click on the link to learn more about us: www.northshorelij.com/goals

Please note: North Shore-LIJ is a smoke-free environment. Smoking and the use of tobacco products is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises. Free smoking cessation programs and quit medications are offered to team members who wish to quit through the North Shore-LIJ Center for Tobacco Control.

Job: Finance
Primary Location: Lenox Hill Hospital
Organization: NSHS Parent and Shared Service
Schedule: Full Time
Shift: Day Job
9:00 AM - 5:00 PM



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