HIM DRG Denial Coordinator
Core
Manage and maintain DRG denial correspondence by reviewing third-party payer denial letters, analyzing data, identifying root causes, and calculating financial impact.
Role type
Senior HIM DRG Denial Coordinator
Builds
Financial impact reports and denial analysis for payer correspondence
Domain
Healthcare administration / Revenue cycle management
Deliverable
dashboards & analysis
Required skills
ICD-10-CM/PCS coding, DRG analysis, root cause analysis, financial impact assessment, regulatory compliance, data abstraction
Preferred skills
RHIA or RHIT certification, Physician Advisor collaboration
Technologies
ICD-10-CM, ICD-10-PCS, DRG systems
Responsibilities
Review and organize denial letters by third-party payor, accurately analyze and abstract key data into proper fields, identify root cause and financial impact, present payer denial letters to Physician Advisors and CDI Director
Seniority
Mid-level, hands-on IC
