Job Description

Overview

PositionTitle:DRGClinicalValidationAuditor

USRNwithatleast2yearsofbedsideexperience

Candidates must have 1-2 years of hospital coding experience

Oneormoreofthefollowingcertifications:

  • CertifiedDocumentationImprovementPractitioner(CDIP-AHIMA)

  • CertifiedProfessionalCoder(CPC)

  • InpatientCodingCredentialsuchasCCS(AHIMA)-IP/OP

  • InpatientCodingCredentialsuchasCIC(AAPC)

  • RHITorRHIA(preferredCertification)

  • CertifiedClinicalDocumentationSpecialist(CCDS)

ResponsibleforauditinginpatientmedicalrecordstoensureclinicaldocumentationsupportstheconditionsandDRGsbilledandreimbursed.SpecializesinreviewofDiagnosisRelatedGroup(DRG)paidclaims.

Primarydutiesmayincludebutarenotlimitedto:

  • Analyzesandauditsclaimsbyintegratingmedicalchartcodingprinciples,clinicalguidelines,andobjectivityintheperformanceofmedic...

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