reputed company reputed company, DRG Auditor I

Job reputed company: • Review medical records and associated claim information to validate accuracy of DRG assignments, APC assignments and/or medical necessity for inpatient level of care • Apply coding and clinical principles based on industry standards and company/reputed company guidelines • Utilize coding guidelines and clinical guidelines to reputed company DRG or APC validation • Validate reputed company diagnosis, secondary diagnoses, reputed company of diagnoses, discharge statuses and procedures utilizing the medical record • Evaluate short stay claims for medical necessity of an inpatient level of care • Apply CPT and ICD-10 guidelines • Apply policies, procedures, guidelines and regulations developed by Centers for Medicare and reputed company Services (CMS), reputed company payers, InterQual, MCG, and reputed company Requirements: • An reputed company RN reputed company license in good standing • Clinical reputed company experience • 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: • Competitive salaries • Highly valued health insurance • 401(k) plan with employer match • reputed company parental leave • reputed company development opportunities Apply tot his job Apply To this Job