United States onlyThe Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation.
Requirements
- Licensure as LVN or RN in the state of employment preferred
- CCS or CIC certification required with DRG auditing experience in ICD-10-CM, ICD-10 PCS
- Experience in the OR, ICU, or ER as an RN highly preferred
- Proficient understanding of Medicare, CMS guidelines and ICD-10 coding guidelines
- Effective and professional communication skills, both verbal and written
- Ability to work independently and in a team environment
- High attention to detail
- Must possess critical thinking skills
- Ability to multi-task and assist with team coverage and provide support when needed
- Ability to build relationships both internally and externally
- Ability to work in a fast-paced environment
- Demonstrated proficiency in basic computer skills and typing
- Proficiency with Microsoft Office
Benefits
- Medical (HDHP) w/Pharmacy
- Dental
- Vision
- Long Term Disability
- Health Savings Account
- Flexible Spending Account Options
- Life Insurance
- Accident Insurance
- Critical Illness Insurance
- Pre-paid Legal Insurance
- Parking and Transit FSA accounts
- 401K
- ROTH 401K
- Paid time off
