South Carolina Licensed Clinical Auditor

Job Summary

A company is looking for a Clinical DRG Auditor who will perform DRG validation reviews of medical records to ensure accuracy in coding and compliance with guidelines.

Key Responsibilities

• Conduct audits of medical record documentation to verify accuracy of diagnosis and procedure codes, adhering to coding guidelines
• Achieve productivity and quality performance standards set by management
• Assist in training and mentoring new Coders or Clinical DRG Auditors

Required Qualifications

• Active, unrestricted RN licensure in the United States and the state of primary residence
• At least one relevant coding certification (e.g., RHIA, RHIT, CCS, CIC, CCDS, or CPC) required
• Minimum of 3 years clinical experience in an inpatient hospital setting
• At least 2 years of MS DRG/APR DRG coding or auditing experience with expert knowledge of ICD-10 coding guidelines
• Demonstrated proficiency in computer skills, including Microsoft Office and virtual meeting tools