State Licensed DRG Quality Analyst

Job Summary

To ensure the accuracy of inpatient DRG coding, the remote State Licensed DRG Quality Analyst will oversee clinical DRG auditors, conduct quality reviews of audits, and mentor team members in a full-time capacity.

Key responsibilities

• Apply clinical judgment for DRG audits to ensure coding accuracy
• Review the consistency and accuracy of clinical DRG auditing findings
• Mentor Clinical DRG auditors and recommend process improvements

Required qualifications

• Minimum 5 years of experience with clinical validation audits
• Active Coding Certification: CIC, CCS, CPC, RHIT, or RHIA
• Thorough understanding of medical terminology and human physiology
• Strong technical knowledge and ability to learn new systems quickly
• Excellent decision-making skills and sound judgment