DRG Validation Coding Auditor

Overview

Employer Industry: Healthcare Revenue Cycle Management

• Salary up to $119,700 annually based on experience
• Bonus incentives and paid certifications available
• Comprehensive benefits package supporting physical, emotional, and financial health
• Opportunities for career advancement and professional development, including tuition reimbursement
• Award-winning company recognized for excellence in healthcare services
• Flexible work environment with remote work options

• Perform documentation and coding audits for all acute inpatient services, ensuring compliance with ethical coding standards
• Conduct DRG coding and clinical reviews to verify accuracy and appropriateness of coding and DRG assignment
• Assess clinical documentation to ensure it supports coded diagnoses and procedures
• Provide clear recommendations and feedback to acute inpatient coders, referencing current coding guidelines
• Maintain productivity and quality goals as set by audit leaders

• Minimum of 5 years of coding experience
• At least 3 years of facility coding audit experience, such as DRG and APC Validation
• Proficiency in multiple EMRs, encoders, and Microsoft Office Suite
• Bachelor’s degree or equivalent experience
• Must possess at least one professional certification (CCS preferred) such as CPC, CCS, RHIA, or RHIT

• Extensive understanding of reimbursement guidelines, specifically related to DRG payment systems
• Ability to organize and complete work in a timely manner
• Above-average written and verbal communication skills
• Knowledge of HIPAA regulations and commitment to maintaining confidentiality
• Familiarity with medical/surgical terminology

#Healthcare Revenue Cycle  #Coding Auditor #Career Opportunity #Remote Work #Professional Development

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position.

Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.