Clinical RN Auditor

Job Summary

A company is looking for a DRG Coding/Clinical RN Auditor.

Key Responsibilities

• Conduct MS-DRG and APR-DRG coding reviews to verify accuracy and identify overpayments
• Perform clinical coding reviews ensuring accuracy of medical coding and compliance with guidelines
• Write rationales supporting audit findings and manage daily case review assignments with a focus on quality

Required Qualifications

• Associate's Degree (or higher)
• Unrestricted RN (Registered Nurse) license
• CCS/CIC certification or willingness to obtain within 6 months of hire
• 3+ years of MS DRG/APR DRG coding experience in a hospital environment
• 2+ years of ICD-10-CM and ICD-10-PCS coding experience