Sachbearbeiter DRG-Abrechnung und -Prüfung (m/w/d)
Hybrid
Core
Reviewing and processing inpatient hospital billing claims and verifying care packages, DRG case groups, and surgical procedures for insurance clients.
Role type
Claims adjudication specialist (DRG billing)
Builds
Accurate insurance reimbursements for hospital services
Domain
Health insurance / Hospital billing
Required skills
DRG coding, OPS coding, hospital billing verification, claim processing, patient case management, stakeholder communication
Preferred skills
PEPP knowledge, coding specialist certification, performance auditor certification
Technologies
DRG, OPS, PEPP
Responsibilities
Verify inpatient hospital billing claims, process DRG billing independently, handle admission and discharge notifications, support policyholders in case management, serve as contact for hospitals and physicians