Nursing Education
Nursing Education Opportunities in Mississippi - 2006  <more..>
 
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DRG Coordinator

   

Diagnosis Related Group (DRG) Coordinators perform data quality reviews on inpatient hospital records in order to validate billing codes. This also includes concurrent reviews of Medicare inpatients to ensure accurate coding and billing. DRG coordinators are also responsible for continuously evaluating the quality of clinical documentation to spot incomplete or inconsistent documentation for patients that could impact the code selection and resulting payment. They may also provide or arrange for training of healthcare professionals in the use of coding guidelines and practices, proper documentation techniques, medical terminology, and disease processes as it related to the DRG and other clinical data quality management factors. A major function of the DRG coordinator is to collect and prepare data that is used in studies involving inpatient stays for clinical evaluation purposes and financial impact and profitability. This requires familiarity with a variety of concepts, practices, and procedures related to this healthcare specialty.  DRG coordinators usually have a number of personnel that work under them and are responsible for training and directing them. To be successful as a DRG coordinator, an individual needs to have good leadership and managerial skills. They should also be well organized, have good written and oral communication skills, and be attentive to detail.


Work Environment:

DRG coordinators work in hospitals, home health agencies, insurance agencies, consulting firms, government agencies, outpatient clinics, health care computing industries, long-term care facilities, and private industries.

High School Preparation:

Individuals interested in a career as a DRG coordinator should take courses in algebra, biology, chemistry, computer skills, data processing, psychology, English, government, history, literature, foreign language, anatomy, sociology, and health occupations/medical professions education.


College Requirements:

Students interested in DRG coordination should complete a baccalaureate degree program from an accredited institution, which is generally 4 years in length. Graduates are then eligible to take the national certification examination offered by the American Health Information Management Association, which is preferred by most employers.

Students interested in health information administration should contact schools for information on admission and course of study.

For educational institutions in Mississippi
offering this course of study click here.

Career Outlook:

In the years to come, hospitals will continue to be the highest employer of health information professionals. There is expected to be a 10% - 20% increase in the number of DRG coordinators through the year 2012. This is mainly due to the need for detailed and highly organized medical records that will be increasingly scrutinized by third party payers, courts, and consumers. Many other health care facilities such as health maintenance organizations, nursing homes, and home health agencies will also be utilizing DRG coordinators because of the need to keep accurate medical records and valuable research statistics. 
 

 

Salary:

Average Annual Salary

$49,700

 

Salary Range

$41,300 - $55,300

 

Professional Organizations:

 

American Health Information Management Association

919 North Michigan Avenue, Suite 1400

Chicago, IL

60611-1683

Phone: (312) 787-2672

Web: www.ahima.org

 

Medical Records Institute

567 Walnut Street

PO Box 289

Newton, MA 02160

Web: www.medrecinst.com

 

Mississippi Health Information Association

921 North Congress Street

Jackson, MS

39202-2554

Phone: (601) 956-4105

Web: www.mshima.org
 

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