Job Description
A company is looking for a Revenue Integrity DRG Auditor. Key Responsibilities Achieve and maintain assigned client financial performance goals Validate code and DRG assignment based on physician documentation and official coding guidelines 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, clinical documentation, and payer reimbursement methodology Experience in MS-DRG validation, APR-DRG validation, and clinical validation CCS, CPC, RHIT, RHIA, CDIP, CCDS or other coding/clinical certifications preferred Proficient with Microsoft Office products and computerized programs