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Change Healthcare DRG Analyst in Helena, Montana

Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.

Work Location:

  • Fully Remote - U.S.

    Position:

The DRG Analyst has an extensive coding and reimbursement background and is responsible for auditing inpatient medical records and assigning ICD-10 diagnosis and procedure codes in accordance with the ICD-10 Official Coding Guidelines and AHA Coding Clinic Guidelines. The DRG Analyst works closely with Clinical Validation Auditors to refer audits for clinical review. Core Responsibilities:

  • Performs DRG Audits by applying extensive knowledge of coding guidelines while maintaining productivity targets.

  • Demonstrates ability to appropriately apply coding guidelines to a variety of claims scenarios and effectively utilize audit tools to maximize savings.

  • Demonstrates ability to research criteria and evaluate it for accuracy.

  • Works independently to meet or exceed productivity and accuracy goals.

  • Communicates audit findings with excellent grammar and writing skills.

  • Screens claims data including MS-DRG and APR-DRG data.

  • Maintains current knowledge of coding guidelines, reimbursement trends, and client expectations.

  • Demonstrates commitment to Change Healthcare core values.

    Requirements:

  • Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS)

  • Minimum of 3 years of experience as an acute inpatient coder, DRG Auditor or related coding experience

  • Extensive knowledge in ICD-10 CM & PCS

  • Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS)

  • Minimum of 3 years of experience as an acute inpatient coder, DRG Auditor or related coding experience

  • Extensive knowledge in ICD-10 CM & PCS

    Working Conditions/Physical Requirements:

  • General office demands

    Travel:

  • No travel

    Unique Benefits*:

  • Flexible work environments

  • Ready, Set, Grow Career Development Center & access to Change Healthcare University for continuous professional learning & development with more than 5,000 training assets

  • Volunteer days, employee giving and matching gifts programs, community awards and dollars for doers, community partnerships

  • Employee wellbeing programs and generous health plans

  • Educational assistance programs

  • US 401(k) or Group RRSP (Canada) savings plans with matching employer contributions

  • Be sure to ask our Talent Advisors for more information on location specific benefits and paid time off policies

  • Learn more at https://careers.changehealthcare.com

  • *Eligibility for some benefits may be limited or not available for part-time employees, be sure to speak with your Talent Advisor.

    Diversity and Inclusion:

  • At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.

  • Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/diversity

    Feeling Inspired? Ready to #MakeAChange? Apply today!

#li-remote

New York and New Jersey Residents Only: The salary range for New York City, NY and Westchester County, NY is $80,155 - $139,320. The salary range for Ithaca, NY is $69,700– $116,100. The salary range for Jersey City, NJ is $83,640 – $139,320. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, Change Healthcare offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with Change Healthcare, you’ll find a far-reaching choice of benefits and incentives.

Diversity, Equity & Inclusion :

•At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.•Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/diversity Feeling Inspired? Ready to #MakeAChange? Apply today!

COVID Vaccination Requirements

We remain committed to doing our part to ensure the health, safety and well-being of our team members and our communities. As such, some individuals may be required to disclose COVID-19 vaccination status prior to or during employment. Certain roles may require COVID-19 vaccination and/or testing as a condition of employment. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) .

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.

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