Universal Hospital Services
Richmond, VA
Responsibilities
Atlantic Region CBO:
The Atlantic Region Central Billing Office (“ARCBO”) or (“CBO”) provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals.
https://jobs.uhs.com/atlantic-region-cbo
The Atlantic Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals department.
The primary responsibility of the DRG Coder is to analyze third party coding audits of paid claims, draft detailed appeal letters, evaluate clinical level of care and review denial trends.
Key Responsibilities include:
Perform DRG (Diagnosis Related Group) validation reviews in response to audits from third party payers.
Review audit findings letters from third party payers to obtain a clear understanding of audited diagnosis codes and underlying payer clinical / coding rationale.
Analyze medical records to obtain supporting clinical documentation...