Clinical Denial Specialist - Diagnosis Related Grouping (DRG)

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. Responsible for all administrative activities surrounding management, timely review/appeal, reporting, monitoring, and analyzing hospital based clinical, coding, and diagnosis related grouping denials. This role ensures the accuracy and integrity of billed services by conducting comprehensive reviews of patient medical records, validating clinical relevance, assessing DRG accuracy, and identifying discrepancies between documentation and billed charges. The specialist prepares and submits detailed clinical appeals, negotiates with external auditors, and applies regulatory knowledge—including CMS guidelines, coding rules, and clinical standards—to support the organization’s position. The DRG Clinical Denial Specialist collaborates with clinical, coding, revenue cycle, and educational stakeholders to support ongoing process improvement, develop educational materials, and enhance organizational compliance and documentation quality. The coordinator is expected to work independently with minimal supervision while maintaining current clinical and coding knowledge and representing the organization effectively in communications with payers and external auditors. MINIMUM QUALIFICATIONS : EDUCATION, CERTIFICATION, AND/OR LIC