DRG Validator - Data Analysis - Medical Coding Auditor

DRG Validator - Data Analysis - Medical Coding Auditor
 

Seeking a qualified DRG Validator to come join a team of established professionals running a large health system in South Carolina. The DRG Validator will ensure the accurate assignment of Diagnosis Related Groups (DRGs) for our patients and applies a thorough understanding of medical coding guidelines, clinical documentation, and reimbursement principles.
 

Pay: $56,797 - $72,978
Schedule: Hybrid
 

Key Responsibilities: 

• Review medical records and clinical documentation to verify the accuracy of assigned DRGs to ensure the correct case mix is reflected for our Health System
• Analyze patient charts to identify discrepancies or inconsistencies in DRG assignment.
• Demonstrates understanding of policies, procedures and federal guidelines that apply directly to coding, DRG assignment, reimbursement, clinical documentation improvement, and UP 04 standards.

Requirements: 

• College Degree in Health Information Management 
• 5 years Inpatient Coding Experience 
• AHIMA Certifications CCS, RHIT, RHIA
• Knowledge of ICD-10, CM/PCS, CPT