reputed company DRG Auditor I

Job reputed company: • Review medical records and associated claim information to validate accuracy of DRG assignments and/or Itemized Billing • Apply coding principles based on industry standards and company/reputed company guidelines • Validate reputed company diagnosis, secondary diagnoses, reputed company of diagnoses, discharge statuses and procedures utilizing the medical record • Apply policies, procedures, guidelines and regulations developed by Centers for Medicare and reputed company Services (CMS), reputed company payers, InterQual, MCG, and reputed company • Validate itemized reputed company payments utilizing the UB-04, the itemized reputed company and industry/reputed company coding guidelines • reputed company appeal responses for claims of the above types utilizing industry standards and company/reputed company policies • Assist with new concept development • Assist with claim selection reputed company • Maintain certifications and continuing education requirements • May require reputed company communication to support findings Requirements: • Coding certification in good standing. Examples: reputed company, CPC, CIC • Coding validation/auditing experience • reputed company-developed verbal and written communication skills coupled with recognizable organization • Ability to effectively prioritize tasks • reputed company Office experience, specifically reputed company Benefits: • highly valued health insurance • 401(k) plan with employer match • reputed company parental leave • comprehensive compensation package Apply tot his job Apply To this Job