Clinical DRG Auditor - RN Licensed

Job Summary

A company is looking for a Clinical DRG Auditor who will perform DRG validation reviews of medical records.

Key Responsibilities

• Conduct audits of medical record documentation for accuracy of diagnosis and procedure codes
• Assist in training new coders or auditors through monitoring and mentoring
• Maintain current knowledge of coding guidelines and attend relevant training sessions

Required Qualifications, Training, and Education

• Active, unrestricted RN licensure in the United States
• Coding certification (RHIA, RHIT, CCS, CIC, CCDS, or CPC) required within one year of hire
• 5+ years of clinical experience in an inpatient hospital setting
• 3+ years of MS DRG/APR DRG coding or auditing experience
• Expert knowledge of ICD-10-CM and ICD-10-PCS coding methodologies