A company is looking for a DRG (Coding) Reviewer / Auditor.
Key Responsibilities
Analyze and review inpatient claims for coding accuracy and proper DRG assignment
Perform comprehensive initial reviews as per standard operating procedures
Collaborate with physician reviewers and manage workload independently
Required Qualifications
Coding Certification (CCS, CIC, or RHIT) required
Completion of college-level courses in medical terminology, anatomy, and medical coding
At least 3 years of experience in MS-DRG and APR-DRG validation in acute care inpatient coding
Knowledge of Official Coding and Reporting guidelines and regulatory compliance
Proficiency in Microsoft Outlook, Word, and Excel
Coding Specialist • Gilbert, Arizona, United States