Sr. Certified Medical CoderSpectraforce Technologies • Raleigh, NC, United States
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Sr. Certified Medical Coder
Spectraforce Technologies • Raleigh, NC, United States
[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]The PICRA team has a backlog of 12,000 claims awaiting DRG audit we need to burn down and get complete to correct the payment and get responses out to providers. These staff would be joining a team of 14 FTE MCR's in a similar role and 4 Trainers / Auditors to support training and quality. This is closing out our hiring needs. Perform DRG audits daily. Participate in a couple of hours of training / meetings as required. Use AI support technology to perform audits effectively. Deliver accurate and comprehensive reviews of admissions and coding to ensure proper payments. Required Licensure : RN and RHIA, RHIT, CCS, or CIC. Preferred Education : BSN. Required Experience : 3 years of DRG Audit experience. Top 3 Must-Have Skills :
Position Title : Sr. Certified Medical Coder
Work Location : Remote - Any Time Zone
Assignment Duration : 9 Months (Potential to Extend or Convert)
Position Summary :
- This role will be working on production performing DRG audits daily.
- There may be a couple hours of trainings / meetings otherwise the remainder of the day is spent on production performing audits.
- The team utilizes AI support technology to perform audits more effectively and comfortability with the technology is a necessity for success.
- This role is unique because it combines clinical expertise and coding expertise to deliver a comprehensive review of the admission and coding to ensure proper payment.
Background & Context :
Key Responsibilities :
Qualification & Experience :
DRG Audits
Using technology to support medical record reviews
Attention to detail
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Medical Coder • Raleigh, NC, United States
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