Nurse Coder DRG Auditor - Inpatient Coding Specialist

Trend Health Partners; United States; Remote; USD 85,000 - 90,000; Full time

Benefits offered by this job

Competitive salaries

Health insurance

401(k) plan with employer match

Paid parental leave

Job summary

A healthcare technology firm is seeking a Nurse Coder DRG Auditor to validate coding accuracy and medical necessity of inpatient claims. The role involves applying industry standards and guidelines to perform DRG validations while collaborating within a team. Successful candidates will have an active RN license, relevant coding certifications, and experience in clinical practice. A competitive salary of $85,000 to $90,000 is offered, along with a comprehensive benefits package.

Qualifications

• Active RN professional license in good standing required.
• Coding certification in good standing preferred.
• Experience in coding validation and auditing is essential.

Responsibilities

• Review medical records for DRG validation.
• Evaluate claims for medical necessity of inpatient care.
• Utilize coding guidelines for accurate claims processing.

Skills

Active RN professional license

Clinical practice experience

Coding certification (CCS, CPC, CIC)

Well-developed verbal and written communication skills

Microsoft Office experience (specifically Excel)

Tools

TruCode/TruBridge

3M

Job description

A healthcare technology firm is seeking a Nurse Coder DRG Auditor to validate coding accuracy and medical necessity of inpatient claims. The role involves applying industry standards and guidelines to perform DRG validations while collaborating within a team. Successful candidates will have an active RN license, relevant coding certifications, and experience in clinical practice. A competitive salary of $85,000 to $90,000 is offered, along with a comprehensive benefits package.