Accuity

The DRG Integrity Specialist performs secondary level reviews of medical records and code assignments using Company technology and client systems to ensure accurate DRG assignment in accordance with federal and client guidelines. Primary duties involve analyzing and validating diagnosis and procedure codes for inpatient services simultaneously with a physician.

The Medical Director collaborates with a DRG Integrity Specialist to review inpatient charts, ensuring clinical documentation accurately reflects patient acuity and complexity for appropriate coding and DRG assignment. Responsibilities include providing clinical leadership, generating compliant physician queries based on clinical indicators, and overseeing the quality of the assigned team's work.

The CDI Query Writer facilitates and distributes compliant queries to providers to ensure optimal quality documentation that accurately reflects the patient's true clinical picture. This involves assessing clinical indicators, clarifying requests, and constructing queries according to established coding and query guidelines.

The Inpatient Coder II is the second level coding position in a 3-tier career ladder. Inpatient Coder IIs will evaluate inpatient medical records and accurately assign the appropriate ICD-10 CM/PCS codes, Present on Admission (POA) indicators, and relevant DRGs. The Coder II must...