DRG Validation Auditor I — Improve Patient Care & Revenue

Socket.dev; Illinois; On-site; USD 48,000 - 81,000; Full time

Benefits offered by this job

Annual bonus

Job summary

Socket.dev is seeking a DRG Validation Auditor I to audit inpatient cases for DRG validation and documentation improvement. You will review accounts in proprietary software and client EMR systems to validate DRG assignments, providing detailed rationale and evidence for your findings.

Candidates must hold AHIMA credentials (RHIA, RHIT, or CCS) and have 3+ years of ICD-10 coding with recent inpatient auditing experience, plus experience with Epic, Cerner, and Meditech.

Qualifications

• Current AHIMA credentials RHIA, RHIT, or CCS.
• 3+ years of ICD-10 coding and DRG reimbursement experience, with recent acute inpatient auditing experience.
• Experience with EMR systems Epic, Cerner, and Meditech.

Responsibilities

• Review inpatient medical records for validation of DRG assignment.
• Provide detailed rationale and supporting evidence for recommendations and findings.
• Utilize industry references such as ICD-10 Guidelines, AHIMA Standards, AHIMA Practice Briefs, and AHA Coding Clinics.

Skills

ICD-10 coding experience

DRG reimbursement experience

Acute inpatient auditing experience

Education

RHIA/RHIT/CCS credentials

Tools

Epic

Cerner

Meditech

Job description

Socket.dev is seeking a DRG Validation Auditor I to audit inpatient cases for DRG validation and documentation improvement. You will review accounts in proprietary software and client EMR systems to validate DRG assignments, providing detailed rationale and evidence for your findings.

Candidates must hold AHIMA credentials (RHIA, RHIT, or CCS) and have 3+ years of ICD-10 coding with recent inpatient auditing experience, plus experience with Epic, Cerner, and Meditech.