Clinical DRG Auditor
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Job Description
Clinical DRG Auditor performing DRG validation reviews of medical records for Gainwell Technologies. Responsible for auditing accuracy and compliance within a remote setting.
Responsibilities:
- Perform DRG validation (clinical/coding) reviews of medical records
- Audit medical records for accuracy of diagnosis and procedure codes
- Maintain knowledge of coding guidelines and CEUs for RN license and coding certification
- Train new Coders or Clinical DRG Auditors
Requirements:
- Active, unrestricted RN licensure from the United States
- At least one of the following Coding Certifications: RHIA, RHIT, CCS, CIC, CCDS, or CPC
- 3+ years clinical experience in an inpatient hospital setting
- 2+ years of MS DRG/APR DRG coding or auditing experience
- Expert knowledge of ICD-10-CM coding
- Proficiency in Microsoft Windows, Outlook, Excel, Word, PowerPoint, Internet browsers, Microsoft Teams, Zoom
Benefits:
- Sign-on bonuses available
- Flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Leadership and technical development academies
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