Inpatient DRG Reviewer
St. Petersburg, FL
CareNational is looking for an experienced Inpatient DRG Reviewer! This is a contract-to-hire position and ideal candidates will have at least 2 years of recent experience as an Inpatient DRG Reviewer.
Pay Details:
- Pay Range: $45.00 - $50.00 / Hour
Work Setting:
Position Details:
- Contract-to-Hire
- Location: Remote, Work-From-Home
Responsibilites:
- Perform inpatient DRG validation reviews
- Determine and record appropriate Diagnosis Codes, Procedure Codes, and Discharge Status Code.
- Document all aspects of audits including uploading all provider communications, clinical rationale, and/or financial research
Requirements:
- Inpatient Coding Certification required (i.e. CCS, CIC, RHIA, or RHIT)
- Experience conducting root cause analysis and identifying solutions
- Clinical skills to evaluate appropriate Medical Record Coding
- Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs
- RN license preferred
- 5+ years of reviewing and/or auditing ICD-10 CM, MS-DRG, and APR-DRG claims preferred
If healthcare is your passion, apply today and one of our recruiters will reach out to you immediately
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