DRG Quality Auditor, Advisor Nurse
Job Description:
• Conduct QA audits to ensure accurate determinations and high-quality documentation
• Identify quality trends and develop corrective education and training
• Review medical records for accurate coding, compliance, and guideline adherence
• Document review decisions clearly for reporting and trending
Requirements:
• Associates degree required; bachelor’s degree preferred
• Active, unrestricted RN licensure from the United States required
• One of the following Coding Certifications required: RHIA, RHIT, CCS, CIC, CCDS or CPC
• 5+ years clinical experience in an inpatient hospital setting required
• 3+ years of MS DRG/APR DRG coding or auditing experience
• Expert knowledge of ICD-10 Official Coding Guidelines and DRG reimbursement methodologies
• Excellent written communication skills for review determinations
Benefits:
• Flexible vacation policy
• 401(k) employer match
• Comprehensive health benefits
• Educational assistance
• Leadership development academies
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• Conduct QA audits to ensure accurate determinations and high-quality documentation
• Identify quality trends and develop corrective education and training
• Review medical records for accurate coding, compliance, and guideline adherence
• Document review decisions clearly for reporting and trending
Requirements:
• Associates degree required; bachelor’s degree preferred
• Active, unrestricted RN licensure from the United States required
• One of the following Coding Certifications required: RHIA, RHIT, CCS, CIC, CCDS or CPC
• 5+ years clinical experience in an inpatient hospital setting required
• 3+ years of MS DRG/APR DRG coding or auditing experience
• Expert knowledge of ICD-10 Official Coding Guidelines and DRG reimbursement methodologies
• Excellent written communication skills for review determinations
Benefits:
• Flexible vacation policy
• 401(k) employer match
• Comprehensive health benefits
• Educational assistance
• Leadership development academies
Apply tot his job
Apply To this Job