Payment Integrity DRG Coding & Clinical Validation Analyst

Lifetime Benefit Solutions, Inc.; Town of De Witt (NY); Hybrid; USD 65,346 - 117,622; Full time

Benefits offered by this job

Group health insurance

Dental insurance

Retirement plan

Wellness program

Paid holidays

Job summary

Lifetime Benefit Solutions, Inc. is looking for a Payment Integrity DRG Coding & Clinical Validation Analyst in Town of De Witt, New York. This role involves reviewing medical records to validate coding accuracy in accordance with MS-DRG and APR-DRG payment systems.

The ideal candidate should have a background in health information management, with a coding certification and experience in claims auditing. Positions offer a comprehensive benefits package and potential for remote work.

Qualifications

• Minimum of three years experience in claims auditing or coding.
• Strong understanding of MS/APR DRG and medical billing systems.
• Coding certification is required.

Responsibilities

• Review medical records for coding accuracy.
• Perform audits and integrate medical coding principles.
• Maintain compliance with official coding guidelines.

Skills

ICD-10 coding expertise

Analytical skills

Problem-solving skills

Knowledge of DRG payment systems

Education

Associate or bachelor’s degree in health information management or nursing

Coding certification (RHIA, RHIT, CCS, CIC)

Tools

PC software

Auditing tools

Claims processing systems

Job description

Lifetime Benefit Solutions, Inc. is looking for a Payment Integrity DRG Coding & Clinical Validation Analyst in Town of De Witt, New York. This role involves reviewing medical records to validate coding accuracy in accordance with MS-DRG and APR-DRG payment systems.

The ideal candidate should have a background in health information management, with a coding certification and experience in claims auditing. Positions offer a comprehensive benefits package and potential for remote work.