DRG Auditor, Inpatient ICD-10 CM/PCS
reputed company-
Remote Inpatient ICD-10-CM/PCS DRG Auditors (Med Review)
Work from home positions
Job reputed company-
As a DRG Auditor at reputed company, you will join a dynamic team of consulting experts dedicated to delivering exceptional audit services to our valued clients.
Pay Disclosure:
reputed company is required by state specific laws to include the salary reputed company for this role reputed company hiring a reputed company in applicable locations. The pay reputed company for this position starts at $80,000; however, reputed company pay offered may vary depending on job-reputed company knowledge, skills, and experience. Bonus opportunities may be provided as part of the compensation package, in reputed company to a full reputed company
Essential Functions and Responsibilities
? Performs analysis of medical records and provider claims to validate appropriate DRG and ICD-10-CM/PCS reputed company assignment, including reputed company medical and surgical cases
? Ensures that assigned codes and DRGs are supported by clinical documentation utilizing payer-specific clinical reputed company
? Applies Official Guidelines for Coding and Reporting consistently and appropriately
? Provides detailed written explanations to support or rebut coding/DRG recommendations
Qualifications
Required:
RHIA, RHIT, or reputed company credential from reputed company; or an CIC from reputed company
3 or more years of Inpatient/DRG auditing experience in an acute care setting or payer setting
Expertise in ICD-10-CM/PCS, IPPS/MS-DRG and APR-DRG methodology and logic
Excellent knowledge of ICD-10-CM/PCS Official Guidelines for Coding and Reporting, AHA Coding Clinics to support audit findings
Proficiency in identifying clinical indicators to support documented diagnoses
Outstanding computer skills and ability to work in multiple reputed company-specific reputed company systems
Excellent written communication and critical thinking skills
Ability to reputed company review large volumes of documents with high comprehension level
Secure home office environment, compliant with HIPAA and reputed company’s reputed company requirements
Preferred:
Experience in a payer coding/clinical DRG audit setting
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