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Denial Registered Nurse (RN) DRG Appeal Writer - HIM Coding

Hartford HealthCare Corp. · Farmington, CT · HIM Coding

Employment type

Contract

Work setting

On-site

Location

Farmington, CT

Schedule

Day shift

Posted

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Job overview

The Denial Registered Nurse (RN) DRG Appeal Writer is an onsite contract role based in Farmington, CT, within the HIM Coding department at Hartford HealthCare Corp. Compensation is not specified for this position, which focuses on reviewing Diagnostic Related Grouper (DRG) downgrades and preparing evidence-based appeals. This role exists to optimize reimbursement and defend billed DRGs by interpreting medical records and applying coding guidelines. The specialist also provides education to providers and coding teams to minimize future denials and ensure documentation accuracy.

What you'll do

  • Review payer DRG downgrade denials
  • analyze medical records and clinical documentation
  • prepare persuasive appeal letters
  • maintain accurate appeal records
  • lead trend analysis
  • provide education to providers and CDI teams
  • achieve departmental KPIs.

What we're looking for

Skills & competencies
contract
day shift
registered nurse
rn
farmington ct
hartford healthcare
him
coding
drg
appeals
revenue cycle
no on-call
no degree required
Work arrangement
  • Weekend coverage required

Benefits & perks

  • Competitive benefits program designed to ensure work/life balance.

Why this role

Focus on revenue cycle protection; specialized DRG validation; collaborative role with CDI and physicians.

About the employer

Hartford HealthCare Corp. is hiring for this role. Industry: Offices of Physicians (except Mental Health Specialists). Sector: 62.

Additional details

Industry sector
62
Industry
Offices of Physicians (except Mental Health Specialists)
Occupation code
29-1141.00
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