DRG Coding Auditor RN

Job Summary

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

Key Responsibilities:

• Conduct MS-DRG and APR-DRG coding reviews to verify accuracy of DRG assignment and reimbursement
• Perform clinical coding review to ensure accuracy of medical coding
• Utilize proprietary workflow systems and encoder tools efficiently to make audit determinations

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