HIM DRG Denial Coordinator

Location:

Department:

Shift:

Standard Weekly Hours:

Summary:

The DRG Denials Coordinator is responsible for managing and maintaining the DRG Denials correspondence. Responsible for reviewing and organizing denial letters by third-party payor, accurately analyzing and abstracting key data information into the proper data fields. Identify root cause and financial impact. Presents all payer denial letters to Physician Advisors and CDI Director for review.

Experience

• Three years Inpatient coding experience with ICD-10-CM/PCS required.
• In Lieu of education requirements, 5 years of acute care or 5 years inpatient coding experience required.
• Must have strong knowledge of Coding regulations and regulatory compliance experience.

Education

• Associates degree in HIM, Business or related field required.

Licensure, Registration, and/or Certification

• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT)

About Us:

Cook Children’s is an equal opportunity employer. As such, Cook Children’s offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

Cook Children’s is a Texas-only employer. If you are hired, you will need to maintain your primary residence within the state of Texas, along with all licenses and credentials required for your position throughout your employment.