DRG Coordinator

It's fun to work in a company where people truly BELIEVE in what they're doing!

We're committed to bringing passion and customer focus to the business.

Day Shift - 7.5 Hours (United States of America)

This role is responsible for reviewing medical records to validate ICD-10 coding and DRG assignments, ensuring accuracy, compliance, and appropriate reimbursement. The Coordinator will support clinical documentation integrity and ensure alignment with regulatory and organizational standards.

The DRG Coordinator also plans and organizes the clinical reimbursement function within the Health Information Management (HIM) Department in accordance with hospital policies and applicable regulations, including DOH, JCAHO, and HIPAA. Strong organizational, management, and communication skills are essential.

Key Responsibilities:

Perform audits of medical records to validate principal and secondary diagnoses (including MCCs/CCs) and procedure codes

Ensure compliance with coding guidelines, Coding Clinic references, and regulatory requirements

Apply ICD-10-CM/PCS expertise and clinical knowledge to support audit findings

Document audit determinations, appeals, and rationale using auditing systems

Review and validate DRG assignments and proper sequencing of diagnoses and procedures

Meet established productivity and quality standards

Assist with training and mentoring staff, including performance monitoring and feedback

Maintain current coding knowledge and complete required CEUs

Participate in ongoing training and departmental meetings

Requirements:

Associate’s or Bachelor’s degree in a Business or Health-related field preferred

RHIA, RHIT, or CCS certification required

Minimum of five (5) years of progressive coding experience in an acute care setting, with strong MS-DRG coding and validation knowledge

Intermediate proficiency in Microsoft Office (Excel, Word, Outlook, PowerPoint)

Experience with Invision, CompCare, or SMART preferred

Knowledge of N-Coder or 3M encoder systems required

Strong organizational, management, and communication skills

Salary Range: $70,000 – $85,000

Employment Non-Discrimination: Richmond University Medical Center is committed to equality of opportunity in all aspects of employment and provides full and equal employment opportunities to all employees and potential employees without regard to race, color, national origin, religion, gender identity, sex, sexual orientation, pregnancy, childbirth and related medical conditions and needs including lactation accommodations, physical or mental disability, age, immigration or citizenship status, veteran or active military status, genetic information, or any other legally protected status.

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

JR101991