New York Licensed Coding Auditor

Job Summary

A company is looking for a Sr. DRG Coding Integrity Auditor (Remote).

Key Responsibilities

• Audit internal and external business partners for accurate claim coding reviews
• Analyze claims and medical records to ensure compliance with coding principles and guidelines
• Prepare audit reports and provide recommendations to management regarding compliance and coding integrity

Required Qualifications

• Bachelor's degree in healthcare, quantitative/analytical, or business-related field
• AAPC CPC and AAPC CIC or CCS certification
• AAPC CPMA certification
• 4 - 6+ years of coding experience and 1+ year auditing experience
• Extensive knowledge of inpatient DRG clinical documentation review