California Licensed DRG Integrity Analyst

Job Summary

California Licensed DRG Integrity Analyst is a full-time position responsible for reviewing inpatient medical records and ensuring compliance with coding and documentation standards.

Key Responsibilities

• Review and analyze inpatient medical records for accuracy and compliance
• Apply MS-DRG and APR-DRG methodologies to ensure proper coding and documentation
• Maintain productivity expectations while adhering to established workflows

Required Qualifications

• Minimum one year of experience in inpatient coding or clinical documentation integrity
• Knowledge of MS-DRG and APR-DRG methodologies
• Experience with CC/MCC capture and principal diagnosis selection
• Ability to work within established workflows and productivity standards