Registered Health Information Technician

Job Summary

Managing comprehensive reviews of MS-DRG and APR-DRG coding, the full-time Registered Health Information Technician will ensure coding accuracy and compliance while working remotely, leveraging advanced expertise in ICD-10-CM/PCS coding and clinical documentation.

Key responsibilities

• Independently conducts MS-DRG and APR-DRG coding and clinical validation reviews, verifying ICD-10-CM/PCS assignments and identifying discrepancies
• Collaborates with the Medical Director on complex cases, providing expert recommendations to influence review outcomes
• Prepares clear audit findings and evaluates claims for compliance with regulations and payer contracts, exercising independent judgment

Required qualifications

• Associate's Degree in Health Information Management, Nursing, or related field
• 4+ years of experience performing MS-DRG and APR-DRG coding
• 2+ years of experience in DRG reviews for a Payment Integrity vendor or Payer
• 2+ years of experience using DRG encoder/grouper software
• RHIT, RHIA, CCS, CICP, or CCDS certification required