DRG Validator

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

📋 Description

• Conduct DRG validation for inpatient coding cases.

• Perform inpatient audits, encompassing complex inpatient and trauma coding reviews.

• Identify opportunities for coding improvements and verify DRG assignments.

• Implement ICD-10-CM/PCS coding standards and MS-DRG/APR-DRG methodologies.

• Assess documentation requirements and reimbursement methods.

• Provide comprehensive audit results.

• Deliver top-notch coding services to clients as an integral part of HCCS's coding operations.

⛳️ Requirements

• Current AHIMA or AAPC coding certification is mandatory.

• CCS certification is required.

• CDIP and/or CCDS certification is preferred.

• At least 3 years of recent APR-DRG/DRG coding experience in a Level II Trauma Center or equivalent.

• At least 1 year of recent inpatient auditing experience in a Level II Trauma Center or higher.

• Previous experience in DRG/APR-DRG validation is essential.

• In-depth understanding of ICD-10-CM/PCS coding guidelines.

• Familiarity with MS-DRG/APR-DRG assignment, reimbursement methods, and documentation requirements.

• Capability to identify coding opportunities, validate DRG assignments, and deliver clear audit findings.

• Outstanding written and verbal communication skills.

• Strong attention to detail.

• Must be a resident of the United States.

• High school diploma or equivalent is required.

🏝️ Benefits

• Competitive salary.

• 401(k) plan.

• Medical, dental, vision, and life insurance coverage.

• Paid time off.

• Fully remote, direct-hire W-2 position.

• Opportunities for long-term career advancement with a family-owned business.