Diagnosis Related Group (DRG) Coordinator jobs in Pennsylvania

Diagnosis Related Group (DRG) Coordinator reviews inpatient hospital records for accurate diagnosis, procedure, and billing codes. Monitors data quality in order to maximize reimbursement. Being a Diagnosis Related Group (DRG) Coordinator monitors the financial status of Medicare patient accounts in order to minimize potential loss. May require a bachelor's degree. Additionally, Diagnosis Related Group (DRG) Coordinator typically reports to a manager or head of a unit/department. The Diagnosis Related Group (DRG) Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Diagnosis Related Group (DRG) Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)

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Coordinator, DRG Appeals
  • CorroHealth Inc
  • Remote, PA FULL_TIME
  • About CorroHealth: At CorroHealth our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. JOB SUMMARY: Job Summary Perform denial research and follow-up work with insurance companies via phone to resolve appeals that have been submitted but remain without a determination Compile multiple documents into appeal bundles and submit appeal bundles to payers in a timely manner Determine and document appeal timeframes and payer process per facility within CorroHealth proprietary system Transcribe information from clients’ EMRs and payer portals into required electronic format; check completed work for accuracy Monitor and complete tasks within shared inboxes and internal request dashboards Receive and document incoming emails, calls, tickets, or voicemails Follow up with the client or internal staff via email or phone for additional information as requested Export and upload documents within CorroHealth proprietary system Cross-trained on various functions within the department to support other teams as needed Other responsibilities as requested by management Minimum Qualifications: Must love communicating with others over the phone Computer proficient. Must have intermediate skills with Outlook and Excel. Must be able to schedule meetings, log onto Teams for meetings. Must be able to open a new excel workbook, use formulas such as; adding and subtracting, copying and pasting. Must be able to type a minimum of 25wpm Detail oriented Shows initiative and responsibility in taking the necessary steps towards problem resolution Works independently, but is a team player Able to work in a fast-paced environment Possess good verbal and written communication skills Required to keep all client and sensitive information confidential Strict adherence to HIPAA/HITECH compliance Education/Experience Required: High School Diploma or equivalent required Bachelor’s degree preferred Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines Prior experience of accessing hospital EMR’s and Payer Portals preferred Proficient in MS Word and Excel. Needs to be able to open a new excel workbook, copy and paste, do basic formulas such as adding, subtracting and copying and pasting. Must have basic skils in Outlook. Should be able to create a meeting invitation, accept a meeting invitation, receive and respond ot email and set up folders. Must be able to type a minimum of 25 wpm with a 90% accuracy rate. ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member. PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. CorroHealth sits at the center of the revenue cycle revolution. Fundamental operations of the revenue cycle are supported through our expert teams while we recast the role of clinicians through automation. This shift to a true clinical revenue cycle helps us achieve our core purpose – exceed client financial health goals. For each patient population, CorroHealth automates key clinical aspects of the cycle. Our platforms focus on capture and application of clinical documentation while easing the burden on physicians. Scalability is prioritized in the support of client program operations. As with most revenue cycle partners, our skilled and enthusiastic team is available to outsource any portion of the cycle. However, we can also complement client programs with additional expert support or upskill existing client teams to meet program demands. Whether our team is deployed directly, or automation is incorporated for a more programmatic solution, CorroHealth delivers.
  • 4 Days Ago

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Program Manager - Dual Diagnosis Program
  • Community Services Group, Inc.
  • York, PA FULL_TIME
  • Join Community Services Group (CSG) as a Program Manager for our Adult Intellectual & Developmental Disabilities (IDD) Community Home Services in York, PA and find meaning in your work every day. This...
  • 24 Days Ago

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Civil Project Designer (Energy related Projects)
  • Core States Group
  • West Chester, PA FULL_TIME
  • Overview: Core States Group is dedicated to creating a world where all environments improve everyday life. Through its signature integrated approach, the company’s divisions deliver architecture, inte...
  • 1 Month Ago

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Civil Project Designer (Energy related Projects)
  • Core States Group
  • Philadelphia, PA FULL_TIME
  • Overview: Core States Group is dedicated to creating a world where all environments improve everyday life. Through its signature integrated approach, the company’s divisions deliver architecture, inte...
  • 1 Month Ago

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Group coordinator
  • Pathways Health and Community Support, LLC.
  • Huntingdon, PA FULL_TIME
  • Description About your Role : As a Family Group Decision Making Coordinator, you will work with children, youth, and families in conjunction with Children & Youth Services. You will support families i...
  • 20 Days Ago

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Group coordinator
  • Haller Enterprises
  • Lititz, PA FULL_TIME
  • About Haller Enterprises : Are you seeking a career with a values-driven and collaborative company that prioritizes your growth? Join our dynamic team at Haller! We are committed to fostering a cultur...
  • 22 Days Ago

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Group Coordinator
  • Marriott Hotels & Resorts
  • Miami Beach, FL
  • Process all reservation requests, changes, and cancellations received by phone, fax, or mail. Identify guest reservation...
  • 6/11/2024 12:00:00 AM

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Group Coordinator
  • Marriott International
  • Miami Beach, FL
  • Job Description POSITION SUMMARY Process all reservation requests, changes, and cancellations received by phone, fax, or...
  • 6/10/2024 12:00:00 AM

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Group Coordinator Lead
  • DHL International GmbH
  • Desoto, TX
  • Responsible for assigning work schedules, training associates and monitoring associate progress for the work group they ...
  • 6/10/2024 12:00:00 AM

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Group Supervisor/Lead Teacher
  • Little Pearls Academic Center LLC
  • Philadelphia, PA
  • Job Description Job Description Lead teacher is responsible for assisting the Center Director in ensuring the health, sa...
  • 6/10/2024 12:00:00 AM

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Group Supervisor
  • Pennsylvania Learning Academy
  • Philadelphia, PA
  • Job Description Job Description We are now hiring experienced group supervisors & assistant group supervisors for our sc...
  • 6/8/2024 12:00:00 AM

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Executive Assistant & Group Coordinator
  • Hiring Now!
  • Green Bay, WI
  • This position will enable the Global IT & Venturing Business Group's achievement of business results through a wide rang...
  • 6/8/2024 12:00:00 AM

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Group Coordinator
  • Star Clippers
  • Miami, FL
  • STAR CLIPPERS AMERICAS GROUP COORDINATOR JOB DESCRIPTION From the Miami office, the Group Coordinator is responsible for...
  • 6/7/2024 12:00:00 AM

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Group Supervisor/Assistant Group Supervisor
  • CREATIVE PRESCHOOL AND DAYCARE
  • Sharpsville, PA
  • Job Description Job Description Creative Pre School is looking for infant/toddler teachers/child care providers. We are ...
  • 6/7/2024 12:00:00 AM

Pennsylvania (/ˌpɛnsɪlˈveɪniə/ (listen) PEN-sil-VAY-nee-ə), officially the Commonwealth of Pennsylvania, is a state located in the northeastern and Mid-Atlantic regions of the United States. The Appalachian Mountains run through its middle. The Commonwealth is bordered by Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east. Pennsylvania is the 33rd-largest state by area, and the 6th-most populous state according to the most recent of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Diagnosis Related Group (DRG) Coordinator jobs
$68,232 to $86,130