Senior DRG Coder

Job Summary

Working remotely, the full-time Senior DRG Coder will review inpatient medical records, assign accurate diagnosis and procedure codes, and ensure compliance with coding regulations while collaborating with various healthcare teams to optimize reimbursement and support quality reporting.

Key responsibilities

• Review inpatient hospital records and assign accurate diagnosis and procedure codes
• Conduct coding validation and auditing to ensure compliance with payer and regulatory requirements
• Collaborate with utilization management, case management, and finance teams to optimize reimbursement and cost containment

Required qualifications

• Associate's degree in Health Information Management, Nursing, or related field
• Minimum of 5 years of inpatient coding experience
• Minimum of 2 years of advanced DRG validation, auditing, or hospital reimbursement experience
• Certifications such as CCS, RHIA, or RHIT from American Health Information Management Association, or CIC or CPC from AAPC
• Advanced knowledge of ICD-10-CM, ICD-10-PCS, MS-DRG, and APR-DRG methodologies