Job Summary
A company is looking for a DRG RN Auditor.
Key Responsibilities:
- Conduct MS-DRG and APR-DRG coding reviews to verify accuracy and identify overpayments
- Perform clinical coding reviews and utilize clinical expertise to ensure correct coding and billing
- Write clear rationales supporting audit findings using official coding guidelines
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
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