Remote DRG Quality Auditor: ICD-10/PCS & Coding Expert

CERIS; Fort Worth (TX); Remote; USD 68,566 - 104,841; Full time

Benefits offered by this job

Medical (HDHP) w/Pharmacy

401K

Paid time off

Job summary

CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor to perform DRG validation reviews on medical records. The ideal candidate will utilize their skills in ICD-10 coding and have a strong clinical knowledge.

This remote role involves auditing, ensuring accurate billing, and working with clinical documentation. Candidates should possess communication skills and critical thinking abilities. Comprehensive benefits and a supportive work environment are provided.

Qualifications

• Minimum 2 years of recent DRG Quality Auditing experience in a hospital setting or health plan.
• Extensive hands-on ICD-10-CM/PCS experience required.

Responsibilities

• Review medical records to determine accuracy of billing through verification of coding.
• Conduct audits to ensure accurate reimbursement and identifying potential savings.
• Notify leadership of any issues or concerns in a timely manner.

Skills

ICD-10-CM coding

Clinical knowledge of disease processes

Communication skills

Critical thinking

Proficiency with Microsoft Office

Education

LVN or RN license

National Coding Certification (AHIMA or AAPC)

Job description

CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor to perform DRG validation reviews on medical records. The ideal candidate will utilize their skills in ICD-10 coding and have a strong clinical knowledge.

This remote role involves auditing, ensuring accurate billing, and working with clinical documentation. Candidates should possess communication skills and critical thinking abilities. Comprehensive benefits and a supportive work environment are provided.