Clinical DRG RN Auditor

Job Summary

A company is looking for a Clinical DRG RN Auditor.

Key Responsibilities:

• Conduct MS-DRG and APR-DRG coding reviews to verify accuracy and identify overpayments
• Perform clinical coding reviews to ensure accuracy of medical coding and compliance with coding guidelines
• Utilize proprietary tools to generate audit rationales and manage daily case review assignments

Required Qualifications:

• Associate's degree (or higher)
• Unrestricted RN (Registered Nurse) license
• CCS/CIC certification or willingness to obtain within 6 months of hire
• 3+ years of MS DRG/APR DRG coding experience in a hospital environment
• 2+ years of ICD-10-CM and ICD-10-PCS coding experience with expert knowledge of coding guidelines