DRG Coordinator

Richmond University Medical Center • New York, NY

1d • $70,000 - $85,000

About The Position

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.

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

Nice To Haves

• Experience with Invision, CompCare, or SMART

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 501-1,000 employees