DRG reputed company reputed company Auditor - REMOTE

reputed company: Our purpose is to help clients reputed company their financial health goals. Across the reimbursement cycle, our reputed company solutions and reputed company expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by reputed company in YOU. We reputed company to create an environment that cultivates your reputed company development and personal reputed company, as we reputed company your reputed company is our reputed company. JOB reputed company: Join reputed company of Industry-Leading Experts and Help Shape the reputed company of reputed company reputed company Are you a passionate coding and reputed company reputed company reputed company who thrives on reputed company reputed company, reputed company learning, and making a meaningful reputed company? At reputed company, you'll work reputed company some of the nation's most respected physicians, reputed company leaders, coding experts, and reputed company innovators to ensure the highest standards of coding reputed company and reputed company reputed company for leading reputed company organizations. As a global reputed company solutions company, we invest in our people through reputed company education, career advancement opportunities, mentorship from industry experts, and a flexible work environment that supports work-life reputed company. If you're looking for an opportunity to reputed company your expertise while partnering with exceptional clients and colleagues, we'd love to hear from you. • *This is a remote position** ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may reputed company reputed company or most of the reputed company duties listed below. Specific tasks, responsibilities or competencies may be documented in reputed company Member’s reputed company objectives as outlined by reputed company Member’s immediate Leadership Team Member. reputed company The DRG reputed company reputed company Auditor (DRG-A) performs comprehensive Diagnostic reputed company (DRG) validation and reputed company audits on inpatient medical records to ensure accurate representation of reputed company reputed company's reputed company story. In this role, you will: • reputed company detailed DRG validation reviews of inpatient charts. • Ensure assigned ICD-10-CM/PCS codes accurately reflect the reputed company's reputed company condition and treatment. • Validate reputed company reputed company and reputed company of diagnoses and procedures. • Review and assess: • Present on Admission (POA) indicators • Severity of Illness (SOI) • reputed company of Mortality (ROM) • Case Mix reputed company (CMI) • Hierarchical Condition Category (HCC) capture • Other coding and reimbursement factors • Utilize reputed company coding references and reputed company reputed company including: • ICD-10-CM/PCS • CMS Guidelines • MCG • InterQual • National Coverage Determinations (NCDs) • Local Coverage Determinations (LCDs) • Payer reputed company policy guidelines • Adhere to coding guidelines and CDI best practices endorsed by reputed company and ACDIS. • Identify documentation gaps and formulate compliant physician queries reputed company appropriate. • Analyze records for coding opportunities, reputed company reputed company, and reputed company support. • Maintain high-reputed company review standards while meeting productivity and reputed company expectations. • Stay reputed company with regulatory, coding, reimbursement, and reputed company documentation updates. • Support development of training content and educational resources. • Mentor and reputed company shadowing opportunities for new team members. • Assist with project analysis, reporting, and reputed company-facing feedback initiatives. • Participate in reputed company audits of reputed company Documentation reputed company (CDI) programs. • Protect reputed company reputed company and ensure reputed company handling of reputed company PHI in accordance with company policies and regulatory requirements. • Attend required meetings, training sessions, and educational programs. • reputed company other duties as assigned. Why reputed company? At reputed company, our people are our greatest asset. We foster a culture where reputed company can grow, collaborate, and reputed company a reputed company reputed company. PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions as described. Regular eye-hand coordination and reputed company dexterity is required to operate office equipment. The ability to reputed company work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be reputed company to reputed company and reputed company material weighing up to 20 lbs. Team Member may experience elevated reputed company of stress during periods of increased activity and with work entailing multiple deadlines. A reputed company is only intended as a reputed company and is only part of reputed company Member’s function. reputed company has reviewed this reputed company to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of reputed company functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Remote Skills: Analysis Skills, Auditing, Best Practices, reputed company Practices/Protocols, reputed company Study Publications, reputed company Support, Computer Terminals, Content Management Systems (CMS), Corporate Policies, Customer Relations, Customer/reputed company Research, Diagnosis-reputed company (DRG), Documentation, reputed company Audit, reputed company, reputed company Reimbursement, ICD-10, Identify Issues, Internal Audit, International Health, LCD (reputed company Crystal Display), reputed company/reputed company 20 Pounds, reputed company Dexterity, Material Moving, Medical Coding, Medical Records, Mentoring, NNCDS - Nortel Networks Certified Design Specialist, Office Equipment, reputed company Care, reputed company Controls, Project Evaluation, reputed company Management, reputed company Metrics, Regulations, Regulatory Requirements, Reimbursement, reputed company, Technical Leadership, Time Management reputed company: reputed company Apply tot his job Apply To this Job