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DRG Coding Auditor - MS-DRG and APR-DRG at Elevance Health - ApplyBlast

DRG Coding Auditor - MS-DRG and APR-DRG

Elevance Health

1 month ago

3.4 on Glassdoor

Remote

Full Time

Medior

0 applicants

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About this role

The DRG Coding Auditor role involves auditing inpatient medical records to generate high-quality recoverable claims and performing clinical reviews to evaluate coding and DRG assignment accuracy. This virtual position requires advanced expertise in ICD-10 coding and industry knowledge to substantiate audit conclusions and identify potential claims for additional recoveries. The role focuses on maintaining accuracy and quality standards while suggesting process improvements to enhance efficiency.

Responsibilities

Audit inpatient medical records and generate recoverable claims
Perform clinical reviews to evaluate coding and DRG assignment accuracy
Analyze claims using medical chart coding principles and clinical guidelines

Skills

Qualifications

RHIA certification as a Registered Health Information AdministratorRHIT certification as a Registered Health Information TechnicianCCS as a Cert Coding SpecialistCIC as a Certified Inpatient CoderCertified Clinical Documentation Specialist (CCDS)