Results-oriented DRG Analyst with 30 years of DRG assignment and coding experience along with 27 years of DRG auditing and consulting experience. Thorough knowledge of Official Coding Guidelines and AHA Coding Clinics for ICD-10-CM and ICD-10-PCS.
Perform DRG Audits remotely for numerous commerical insurance clients.
Perform on-site DRG audits.
Screen claims for potential audit selection.
Respond to provider appeals/rebuttals regarding DRG assignment.
Utilize Cerner, Epic, Medi-tech and McKesson electronic medical record systems.
Performed on-site DRG audit reviews and comprehensive coding reviews.
Provided education and feedback to staff.
Provided interim coding management services for a 500 bed facility for 2 plus years.
Utilized 3M coding and abstracting systems.
Provided coding quality reports for HIM management and Administration.
Trained and supervised contract coders for 800 bed trauma hospital.
Conducted Inpatient DRG Audits
Conducted educational in-services for coding staff with DRG results and appropriate AHA Coding Clinic and Coding Guideline references.
Presented results and recommendations to management regarding DRG audit results.
Performed inpatient coding and DRG assignment utilizing 3M.
Performed inpatient coding and abstracting and DRG assignment.