DRG Validation Auditor I
About The Position
We are a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. We deliver proven ROI across the entire revenue cycle – front, middle, and back office. This enables our customers to achieve an optimal revenue cycle – one that promotes patient satisfaction and improves financial performance. As our DRG Validation Auditor I, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of reviewing accounts in proprietary software and client EMR systems to validate the accounts.
Requirements
- Current AHIMA credentials of one or more of the following are required: RHIA, RHIT, and/or CCS
- 3+ years of ICD-10 coding and DRG reimbursement experience, with recent acute inpatient auditing experience
- Experience with multiple EMR Systems such as Epic, Cerner, and Meditech
Responsibilities
- Review inpatient medical records for validation of DRG assignment
- Provide detailed rationale and supporting evidence for the recommendation and findings
- Utilize industry-recognized references to support their review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA Practice Briefs related to compliant querying, and AHA Coding Clinics
Benefits
- annual bonus plan
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
