Remote DRG Auditor: ICD-10 Coding Expert (CCS)

EnableComp; United States; Hybrid; USD 65,000 - 95,000; Full time

Job summary

EnableComp seeks a DRG Auditor to review post-billed inpatient claims, validate missed reimbursements, and optimize hospital reimbursement using ICD-10 coding within a DRG database. CCS certification and robust documentation skills are essential.

The role involves handling PHI with strict privacy, remote-or-office flexibility, and collaboration with leadership to drive revenue opportunities. Prior DRG experience and familiarity with DRG software are required.

Qualifications

• Associate's or bachelor’s degree in health information management or related field required.
• RHIT/RHIA credentialed individuals encouraged.
• Certified Coding Specialist (CCS) certification required.
• 2–3 years’ experience in DRG validation or inpatient medical coding.

Responsibilities

• Review inpatient claims in DRG database for accuracy and reimbursement.

Skills

ICD-10 coding

DRG reimbursement

Analytical thinking

MS Office

PHI handling

Education

Associate or Bachelors in health information management

RHIT or RHIA encouraged

Tools

DRG software

EMR systems

Job description

EnableComp seeks a DRG Auditor to review post-billed inpatient claims, validate missed reimbursements, and optimize hospital reimbursement using ICD-10 coding within a DRG database. CCS certification and robust documentation skills are essential.

The role involves handling PHI with strict privacy, remote-or-office flexibility, and collaboration with leadership to drive revenue opportunities. Prior DRG experience and familiarity with DRG software are required.