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Registered Nurse DRG Auditor
A company is looking for a DRG Coding Quality Analyst to audit inpatient claims and ensure coding accuracy. Key Responsibilities Conduct MS-DRG and APR-DRG coding audits for accurate DRG assignment and reimbursement validation Apply expert knowledge of ICD-10-CM/PCS coding and ensure compliance with relevant guidelines Utilize proprietary workflow systems and encoder tools to process claims efficiently Required Qualifications Unrestricted RN (Registered Nurse) license CCS/CIC certification or ability to obtain within 6 months of hire 3+ years of MS-DRG and APR-DRG coding experience in a hospital setting Deep expertise in ICD-10-CM/PCS coding and related evaluations
A company is looking for a DRG Coding Quality Analyst to audit inpatient claims and ensure coding accuracy.
Key Responsibilities
Conduct MS-DRG and APR-DRG coding audits for accurate DRG assignment and reimbursement validation
Apply expert knowledge of ICD-10-CM/PCS coding and ensure compliance with relevant guidelines
Utilize proprietary workflow systems and encoder tools to process claims efficiently
Required Qualifications
Unrestricted RN (Registered Nurse) license
CCS/CIC certification or ability to obtain within 6 months of hire
3+ years of MS-DRG and APR-DRG coding experience in a hospital setting
Deep expertise in ICD-10-CM/PCS coding and related evaluations
