Payment Integrity DRG Coding & Clinical Validation Analyst

Lifetime Benefit Solutions, Inc.; City of Utica (NY); Hybrid; USD 65,346 - 142,322; Full time

Benefits offered by this job

Group health and dental insurance

Retirement plan

Wellness program

Paid time off

Job summary

Lifetime Benefit Solutions, Inc. is seeking a Payment Integrity DRG Coding & Clinical Validation Analyst in New York. This role involves reviewing medical records to ensure coding accuracy and compliance with regulatory guidelines. Candidates should possess a degree in health information management, relevant coding experience, and knowledge of MS-DRG and ICD-10 systems.

The position offers competitive salary ranging between $65,346 and $142,322 depending on experience and qualifications, along with flexible remote work options.

Qualifications

• 3+ years experience in claims auditing for MS/APR DRG coding.
• Coding certification maintained as a condition of employment.
• Proficient in medical claims billing/payment systems.

Responsibilities

• Review medical records to validate coding and DRG assignment accuracy.
• Analyze and audit acute inpatient claims independently.
• Provide training and guidance to team members.

Skills

ICD-10 coding expertise

Analytical skills

Problem-solving skills

Education

Associate or bachelor's degree in health information management

Tools

Claims processing systems

Auditing tools

Job description

Lifetime Benefit Solutions, Inc. is seeking a Payment Integrity DRG Coding & Clinical Validation Analyst in New York. This role involves reviewing medical records to ensure coding accuracy and compliance with regulatory guidelines. Candidates should possess a degree in health information management, relevant coding experience, and knowledge of MS-DRG and ICD-10 systems.

The position offers competitive salary ranging between $65,346 and $142,322 depending on experience and qualifications, along with flexible remote work options.