About the role
Job Description Job Description Description: The DRG Denial Specialist is responsible for reviewing DRG-related payer denials and authoring appeal letters when an appeal is supported by the clinical documentation and coding guidelines. Using expert-level knowledge of ICD-10-CM/PCS, MS-DRG/APR-DRG classification systems, and Official Coding Guidelines, the DRG Denial Specialist evaluates the medical record against the original coding and the payer's stated rationale to determine whether the DRG …
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