DRG CLINICAL COORDINATOR

DRG CLINICAL COORDINATOR (DRGCC) 

DEPARTMENT: REVENUE CYCLE MANAGEMENT  

Jamaica Hospital Medical Center a member of the Medisys Health Network is a fully accredited community-based teaching hospital and Level I Trauma and Stroke Center. We are proud of our uncompromising commitment and approach in providing the highest levels of professional, compassionate care to the many underserved patients and residents in Queens. We are currently seeking a DRG Clinical Coordinator to join our team.  

DUTIES: 

Our ideal candidate will be a medically trained professional, who will be responsible for conducting and completing processes that ensure medical documentations reflect the severity of patient illness in assigned principal diagnosis, secondary diagnosis, and significant procedures.  Clinical documentation shall include but not be limited to etiology, clinical presentation, treatment, management, results of clinical studies, and procedures performed.  Specific duties will include:   

• Reviewing medical records for completeness and technical accuracy. 
• Effective and appropriate physician query. 
• Assigning appropriate ICD-10 CM codes and application of coding guidelines 
• Performing accurate pre-coding, DRG validations, and audit post-final coding.  
• Performing DRG and Medical Necessity RAC appeals. 
• Conducting staff education, training, and orientation.  
• Participating in performance improvement activities and processes.