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Remote Senior DRG Appeals Clinical Validation Auditor III

Job is Expired
Location: Nationwide
Compensation: Salary
Staff Reviewed: Fri, May 06, 2022
Job Category: Quality Assurance
Employer Type: Employer
Career Level: Experienced, Senior Level

Job Summary

A business process solutions, operations management, and analytics consulting company has an open position for a Remote Senior DRG Appeals Clinical Validation Auditor III.

Individual must be able to fulfill the following responsibilities:

  • Conduct MS-DRG provider appeals reviews
  • Support audit results with concise appeal responses
  • Meet or exceed established program productivity and quality goals

Qualifications for this position include:

  • 7+ years of experience with MS DRG with expert knowledge of AHA Coding Guidelines
  • Active AHIMA Registered Health Information Management Administrator/Technician with CCS
  • Experience with DRG encoder tools (3M, Webstrat, Pricers)
  • Proficiency in Word, Access, Excel and other applications
  • Current with industry trends specific to DRG reimbursement

COMPLETE JOB DESCRIPTION

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