Remote DRG Auditor: MS-DRG & APR-DRG Expert

DaMar Staffing; Indianapolis (IN); On-site; USD 93,000 - 160,000; Full time

Job summary

Elevance Health seeks a DRG Coding Auditor to audit inpatient medical records and generate high-quality recoverable claims. This role offers virtual, full-time work with required in-person training sessions and possible alternate locations within commuting distance.

You will apply ICD-10 coding principles, clinical guidelines, and auditing tools to substantiate DRG assignments and prepare findings letters, emphasizing accuracy and compliance in a dynamic healthcare environment.

Qualifications

• AA/AS degree or 5+ years of claims auditing experience.
• RHIA/RHIT/CCS/CIC/CCDS certifications preferred.
• 5 years of ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG experience.

Responsibilities

• Audits inpatient medical records and generates high-quality recoverable claims.
• Performs clinical reviews to evaluate DRG assignment accuracy.
• Uses ICD-10 coding principles and audit tools to support determinations.
• Writes audit findings letters and supports process improvements.

Skills

ICD-10 coding

Medical records review

Auditing

Attention to detail

Education

AA/AS degree

BA/BS preferred

Tools

DRG coding systems

Job description

Elevance Health seeks a DRG Coding Auditor to audit inpatient medical records and generate high-quality recoverable claims. This role offers virtual, full-time work with required in-person training sessions and possible alternate locations within commuting distance.

You will apply ICD-10 coding principles, clinical guidelines, and auditing tools to substantiate DRG assignments and prepare findings letters, emphasizing accuracy and compliance in a dynamic healthcare environment.