DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG)
Elevance Health(30 days ago)
About this role
The DRG Coding Auditor audits inpatient medical records and performs clinical reviews to assess coding and DRG assignment accuracy, producing recoverable claims and audit findings. This role supports payment integrity efforts across lines of business by applying coding expertise and clinical guidelines to validate claim integrity.
Required Skills
- ICD-10
- DRG Coding
- Clinical Review
- Medical Auditing
- Chart Review
- Audit Tools
- Letter Writing
- Claims Analysis
- Clinical Validation
- Coding Expertise
Qualifications
- AA/AS
- BA/BS
- RHIA
- RHIT
- CCS
- CIC
About Elevance Health
elevancehealth.comElevance Health, formerly Anthem, Inc., serves people across their entire health journey taking an integrated whole-health approach.
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