Healthcare Coding Auditor & DRG Validation Lead

DaMar Staffing; Hopewell (NJ); On-site; USD 48,000 - 52,000; Full time

Job summary

DaMar Staffing in Hopewell, NJ seeks a Certified Professional Coder to lead on-site and remote hospital billing and coding audits, develop forms, and manage per diem audits.

Ideal candidates have an RN license, CCS/RHIT/RHIA certifications, a HIM degree, and at least 3 years in medical records; bachelor's preferred. This 6-month contract offers a pay rate of $35–$38 per hour on a W-2.

Qualifications

• High School Diploma or GED required.
• Bachelor's Degree in Health Information Management preferred or equivalent relevant experience.
• Minimum 3 years of experience in a medical records department within an acute care hospital or healthcare setting.
• Experience with DRG validation, ICD-10-CM training, and healthcare auditing.

Responsibilities

• Lead hospital billing and coding audits, both on-site and remote.
• Identify and present billing discrepancies and coordinate improper claim payment referrals.
• Analyze trends related to documentation, billing errors, and provider contract interpretation issues.
• Compile audit reports, statistics, and findings for internal teams and regulatory agencies.
• Review and enhance audit processes to align with clinical review innovations and cost-containment initiatives.
• Train and mentor new staff on departmental audit procedures.
• Ensure compliance with healthcare laws, regulations, and company policies.
• Support special projects and additional assignments as requested by management.

Skills

DRG validation

ICD-10-CM training

Healthcare auditing

Auditing procedures

Education

High School Diploma/GED

Bachelor's Degree in Health Information Management

Active RN License

CCS

CCS-P

CCA

RHIT

RHIA

Tools

ACCESS Software

Job description

DaMar Staffing in Hopewell, NJ seeks a Certified Professional Coder to lead on-site and remote hospital billing and coding audits, develop forms, and manage per diem audits.

Ideal candidates have an RN license, CCS/RHIT/RHIA certifications, a HIM degree, and at least 3 years in medical records; bachelor's preferred. This 6-month contract offers a pay rate of $35–$38 per hour on a W-2.