Job Summary
A company is looking for a DRG Auditor.
Key Responsibilities
- Achieve and maintain assigned client financial performance goals
- Validate code and DRG assignment and supporting clinical documentation
- Assist in prediction enhancements to increase verification rates
Required Qualifications, Training, and Education
- 3+ years of inpatient auditing/coding experience with ICD and CPT/HCPCS
- In-depth knowledge of hospital inpatient record types and payer reimbursement methodology
- Experience in MS-DRG validation, APR-DRG validation, and clinical validation
- Proficient with Microsoft Office products and computerized programs
- Relevant coding/clinical certifications such as CCS, CPC, RHIT, RHIA, CDIP, or CCDS preferred
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