reputed company reputed company, DRG Auditor I

Job reputed company:

• Review medical records and associated claim information to validate accuracy of DRG assignments, APC assignments and/or medical necessity for inpatient level of care
• Apply coding and clinical principles based on industry standards and company/reputed company guidelines
• Utilize coding guidelines and clinical guidelines to reputed company DRG or APC validation
• Validate reputed company diagnosis, secondary diagnoses, reputed company of diagnoses, discharge statuses and procedures utilizing the medical record
• Evaluate short stay claims for medical necessity of an inpatient level of care
• Apply CPT and ICD-10 guidelines
• Apply policies, procedures, guidelines and regulations developed by Centers for Medicare and reputed company Services (CMS), reputed company payers, InterQual, MCG, and reputed company

Requirements:

• An reputed company RN reputed company license in good standing
• Clinical reputed company experience
• Coding certification in good standing. Examples: reputed company, CPC, CIC
• Coding validation/auditing experience
• reputed company-developed verbal and written communication skills coupled with recognizable organization
• Ability to effectively prioritize tasks
• reputed company Office experience, specifically reputed company

Benefits:

• Competitive salaries
• Highly valued health insurance
• 401(k) plan with employer match
• reputed company parental leave
• reputed company development opportunities

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