Inpatient Coding Manager & DRG Validator - White Plains Hospital

At White Plains Hospital, you have an opportunity to work side-by-side with some of the most talented people in the world.

We have been widely recognized for our exceptional culture, world-class physicians, Magnet-designated nurses and passionate employees who make a real difference in our community. With tremendous growth opportunities, great benefits, and flexible work schedules, it is no wonder why we are consistently recognized as a Great Place to Work.

Position Summary:

The Coding Manager/DRG Validatoroversees the daily operations of the HIM Department inclusive of Inpatient Coding, with responsibility for all processes and procedures including abstracting clinical information from a variety of Electronic Health Records and assignment of appropriate codes for diagnoses and procedures. The Manager/DRG validator is responsible for creating consistency and efficiency in inpatient claims processing and data collection to optimize DRG reimbursement and facilitate data quality in hospital inpatient services.

Essential Functions and Responsibilities Includes the Following:

Education & Experience Requirements

• Bachelor’s degree required. CCS Certification required; RHIA or RHIT credential preferred.
• Minimum of Seven (7) years of coding experience; with at least Five (5) years of Coding management experience, in acute care hospital Health Information Department; with extensive exposure to CPT-4 and ICD-10-CM-PCS coding, data entry and chart Clinical documentation.
• DRG Validation experience: Include excellent understanding of coding guidelines and in depth understanding of MS-DRG, and APR-DRG groupers to ensure optimal results for hospital in order to maintain high compliance and optimal reimbursement.

Core Competencies

Demonstrates ability to promote Teamwork among all HIM Staff

Demonstrate leadership skills and empower staff to hardwire communication skills bidirectional.

Must demonstrate excellent organizational, judgment, communication, and problem-solving techniques.

Demonstrate stress tolerance with all exchanges of daily work

Physical/Mental Demands/Requirements & Work Environment

• May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital’s SDS (Safety Data Sheet) data base and may be accessed through the hospital’s Intranet site (Employee Tools/SDS Access). A copy of the SDS data base can also be found at the hospital switchboard, saved on a disc.
• Manual dexterity is required for use of computer keyboard and mouse; Must be able to sit at computer terminal for extended amounts of time daily.
• Walking to different areas both inside and offsite locations
• Must be able to concentrate during times of increased noise level, changes in temperatures

Primary Population Served

Check appropriate box(s) below:

☐Neonatal (birth – 28 days)

☐Patients with exceptional communication needs

☐Infant (29 days – less than 1 year)

☐Patients with developmental delays

☐Pediatric (1 – 12 years)

☐Patients at end of life

☐Adolescent (13 – 17 years)

☐Patients under isolation precautions

☐Adult (18 – 64 years)

☐Patients with cultural needs

☐Geriatric (> 65 years)

â˜'All populations

☐Bariatric Patients with weight related comorbidities

☐ Non-patient care population

The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of White Plains Hospital.

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