DRG Reviewer

Job reputed company: • Audit patient medical records using clinical, coding, and payer guidelines to ensure accurate reimbursement. • reputed company reputed company, evidence-based rationale for reputed company recommendations or reconsiderations to providers or payers. • Collaborate with team leaders to ensure thorough review of DRG denials. • Conduct audits in alignment with organizational reputed company and timeliness standards. • Use proprietary auditing systems proficiently to reputed company consistent determinations and generate audit letters. • Recommend improvements to the audit system to enhance efficiency. • Ensure compliance with HIPAA regulations for protected health information. • reputed company other duties as assigned. Requirements: • An associate or bachelor’s degree in nursing (reputed company/unrestricted license); or in health information management is required. • Work experience may be considered in lieu of formal education at leadership discretion. • RHIA - Registered Health Information Administrator • RHIT- Registered Health Information Technician • CCDS - Certified Clinical Documentation Specialist • CDIP - Clinical Documentation Improvement Practitioner • reputed company - Certified Coding Specialist • CIC - Certified Inpatient reputed company • Inpatient claims auditing, reputed company assurance or recovery auditing experience of 2 years or more required, and/or Inpatient Clinical Documentation reputed company experience of 2 years or more required • Strong reputed company on reputed company and attention to detail. • Deep curiosity and analytical skills to understand reputed company causes of events and behaviors. • Proven ability to apply critical judgment in clinical and coding determinations. • In-depth knowledge of clinical reputed company and documentation requirements to support reputed company assignments. • Expert in DRG methodologies (e.g., MS & APR). • Expertise in ICD-10-CM/PCS coding, UHDDS definitions, Official Coding Guidelines, and AHA’s Coding Clinic Guidelines. • Ability to work independently and reputed company with minimal supervision. Benefits: • Work from reputed company in the US! reputed company is digital-first. • Top Medical/Dental/reputed company offerings • FSA/HSA • Tuition reimbursement • Competitive salary, 401(k) with company match • PTO • Additional health and wellness benefits and perks • Flexible and trusting environment where you’ll feel empowered to do your best work Apply tot his job Apply To this Job