Job Summary

A healthcare analytics company has a current position open for a Telecommute Clinical DRG Quality Analyst IV.

Individual must be able to fulfill the following responsibilities:

• Review the accuracy and consistency of clinical coding auditors
• Provide updates to training and user manuals
• Recommend process changes to improve quality and performance

Qualifications Include:

• Experience or equivalent, coding or auditing MDS
• Associate's Degree
• Previous experience/exposure to RUG III and RUG IV Medicare reimbursements systems
• Previous Case Management, Quality Improvement or Utilization Review and/or Claims Auditing experience
• Must have advanced knowledge of MDS coding rules