State Licensed APR DRG Analyst
virtual vocationsDenver, CO
State Licensed APR DRG Analyst
L5
virtual vocationsDenver, CO4 days ago
Occupations
Health Information Technologists and Medical RegistrarsHealth Informatics SpecialistsMedical Records SpecialistsIndustries
General Medical and Surgical HospitalsAll Other Miscellaneous Ambulatory Health Care ServicesAll Other Outpatient Care CentersCollaborating with Payment Integrity Audit program leaders, the remote Senior Manager - APR DRG Concept Development Analyst will research, develop, and implement inpatient DRG audit selection criteria while analyzing performance metrics to ensure alignment with team goals.
Key Responsibilities:
Serve as a subject matter expert for research and analysis to identify overpayment opportunities in APR-DRG validation
Collaborate with audit and analytic teams to review and monitor concept performance pre-and post-implementation
Utilize internal selection tools to build queries and test concept effectiveness, delivering insights to senior leaders
Required Qualifications:
10+ years of inpatient coding or auditing experience with mastery-level expertise in APR-DRG methodology
Bachelor's degree in health information management, Healthcare Informatics, or Health Care Administration
Active AHIMA certification (RHIA, RHIT, or CCS)
Experience with encoder tools (3M, Trubridge) and large data sets
Proficient in Microsoft Excel, including advanced functions and pivot tables
Apply now (opens in a new tab)
Level
SeniorL5
Location
Denver, CO
Occupation
Health Information Technologists and Medical Registrars
Industry
General Medical and Surgical Hospitals
Posted
4 days ago
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