USRN – Medical Coder

DRG Clinical Validation Auditor

USRN with at least 2 years of bedside experience.

Candidates must have 1-2 years of hospital coding experience.

Qualifications

• Certified Documentation Improvement Practitioner (CDIP- AHIMA)
• Certified Professional Coder (CPC)
• Inpatient Coding Credential such as CCS (AHIMA)-IP/OP
• Inpatient Coding Credential such as CIC (AAPC)
• RHIT or RHIA (preferred Certification)
• Certified Clinical Documentation Specialist (CCDS)

Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims.

Responsibilities

• Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities.
• Draws on advanced ICD-10 coding exp...