About this opportunity
Montefiore Hudson Valley Collaborative lists this DIAGNOSIS RELATED GROUP SPECIALIST (JR230306) opportunity in village of tarrytown, New York. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Introduction
To heal, to teach, to discover and to advance the health of the communities we serve.
Overview
The DRG Validator is a coding quality and compliance professional responsible for conducting complex and high-impact coding audits across inpatient (IP) encounters.
Responsibilities
Validates code accuracy, guideline compliance, and documentation support to ensure coding integrity and reduce denial risk.
This role supports organizational coding quality initiatives by identifying audit trends, performing root cause analysis, ensuring audit defensibility, providing coder feedback, and supporting coding education strategies.
The DRG Validator is required to use approved audit tools and scrubbers, including PWC SMART, to support audit targeting, audit documentation, and review consistency.
Requirements
High School Diploma or equivalent required.
Associate or Bachelor’s degree preferred.
CCS required.
RHIA/RHIT, CPC, CRC, CDIP, or CCDS preferred.
Minimum of 5 years' coding experience preferred (acute care strongly preferred).
Minimum of 2 years' auditing/quality review experience preferred.
Demonstrated expertise in DRG and inpatient coding principles required if assigned to IP audits.
Expert-level knowledge of official coding guidelines and sequencing rules.
Strong clinical documentation interpretation skills.
Ability to apply independent professional judgment in audit conclusions.
Ability to clearly articulate and defend audit outcomes using guidelines.
Strong written communication skills for defensible documentation.
Strong attention to detail, productivity focus, and ability to meet strict deadlines.
Proficiency in Epic and related coding/audit tools preferred.
Ability to work independently with minimal supervision while remaining accountable for quality and timeliness.
#J-18808-Ljbffr
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.