| Title: DRG Auditor
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| Location: Fort Worth, TX
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| Job Type: Direct Hire
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| Compensation: $46,970.00 to $75,175.00 per Year
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| Reference Code: 949307-TAF
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Description: Fort Worth is the 17th-largest city in the United States and one of -America's Most Livable Communities. Today, Fort Worth, Texas is a thriving center of culture and commerce. Visitors are often surprised by everything Fort Worth has to offer: the Historic Stockyards, remarkable museums, a dazzling downtown area, Texas Motor Speedway, spectacular annual events, and a lot more.
Kforce is seeking a Credentialed RHIA, RHIT, or CCS DRG Auditor for a client in the Ft. Worth area.
Their system is 3M. This is a 40 hours a week (day-time opportunity)!
Perform quality audits on inpatient and outpatient coding as requested and scheduled by each facility. Prepare reports of findings and identify trends, profiles, and patterns by the Coder; and provide this information to HIM Management as appropriate.
Specific Functions:
- Analyze, code, and abstract inpatient and outpatient medical records as required by each facility to back-fill for vacancies, illness, and volume increases
- Review results of audits with Director / Coding Manager and individual Coders
- Work with the Director / Coding Manager to reconcile coding audits and resolve coding issues
- Work collaboratively with revenue cycle departments to ensure coding and edits are processed timely
- Serve as a resource person for the Health information Management Departments as well as other hospital departments by answering questions related to coding issues
- Identify and code all pertinent co-morbid and complicating diagnoses utilizing the encoder
- Identify and code all applicable procedures utilizing the encoder
- Abstract required data into the coding and abstracting system and other systems utilized by each facility
- Optimize DRG reimbursement by re-sequencing diagnoses when possible in accordance with coding guidelines
- Serve as a professional role model to internal and external customers
- Demonstrate leadership and management ability
- Perform other duties as assigned
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Requirements: DRG Auditor Qualifications:
- 2 years of DRG Auditor experience or 5 years of coding experience (acute care setting all service lines and CPT coding)
- Strong acute care setting IP coding and CPT coding experience
- Minimum IP productivity of 3.5/hr
- Proven coding quality of 95% or greater
- Strong critical thinking skills
- Strong communication skills to interact with physicians and clinical departments
- Modifier knowledge
- CDM knowledge
- Excel spreadsheet knowledge
- Knowledge in 3M advanced analyzer (a plus)
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