Texas Licensed Clinical DRG Auditor

Job Summary

A company is looking for a Clinical DRG Auditor who is responsible for performing DRG validation reviews of medical records and coding accuracy.

Key Responsibilities

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

Required Qualifications

• Active, unrestricted RN licensure in the United States and the state of primary home residency
• At least one coding certification (e.g., RHIA, RHIT, CCS, CIC, CCDS, CPC) required
• 3+ years of clinical experience in an inpatient hospital setting
• 2+ years of MS DRG/APR DRG coding or auditing experience with expert knowledge of ICD-10 guidelines
• Expert knowledge of ICD-10-CM and ICD-10-PCS coding methodologies