Mitarbeiter im operativen Medizincontrolling (m/w/d)
Core
Reviewing coding and case release before billing, handling payer inquiries and audits, creating medical justifications, and consulting clinics on coding and documentation optimization.
Role type
Operational medical controller (coding & DRG optimization)
Builds
Medical coding accuracy, audit responses, and documentation process improvements for a university hospital.
Domain
Healthcare / Medical Coding / DRG Management
Deliverable
dashboards & analysis
Required skills
ICD catalog, OPS catalog, coding guidelines, hospital information systems, MS Office
Responsibilities
Cross-departmental review of coding and case release before billing; Handling inquiries from payers and managing MD audit notifications; Creating medical justifications and processing MD expert opinions; Providing feedback to clinics on audit results to optimize coding; Consulting clinics on coding questions and supporting documentation process optimization.
