Coder, DRG Auditor I

This is a fully remote position, open to applicants in United States.

📋 Description

• Examine medical records and related claim information to confirm the accuracy of DRG assignments and/or itemized billing.

• Apply coding guidelines to conduct DRG validation.

• Verify principal diagnosis, secondary diagnoses, the sequencing of diagnoses, discharge statuses, and procedures using the medical record.

• Implement CPT and ICD-10 guidelines.

• Confirm itemized bill payments using the UB-04, the itemized bill, and industry/client coding standards.

• Prepare appeal responses for claims in accordance with industry standards and company/client policies.

• Uphold certifications and fulfill continuing education requirements.

⛳️ Requirements

• Coding certification in good standing. Examples include CCS, CPC, CIC.

• Experience in coding validation/auditing.

• Strong verbal and written communication skills, along with effective organizational abilities.

• Capability to prioritize tasks efficiently.

• Proficiency in Microsoft Office, particularly Excel.

🏝️ Benefits

• Health insurance.

• 401(k) plan with employer matching.

• Paid parental leave.

• Competitive salaries.

• Comprehensive compensation package.