Remote Inpatient DRG Auditor | Medical Coding

Machinify; United States; Remote; USD 90,000 - 115,000; Full time

Benefits offered by this job

Top Medical/Dental/Vision offerings

Tuition reimbursement

401(k) with company match

Flexible time off

Job summary

A healthcare intelligence company is seeking a DRG Reviewer to conduct payment validation reviews. The ideal candidate will possess a nursing degree or equivalent, with at least two years of inpatient claims auditing experience. Responsibilities include auditing medical records, providing clinical support, and ensuring compliance with regulations. The job offers a competitive salary between $90,000 and $115,000, alongside benefits like tuition reimbursement and a flexible work environment.

Qualifications

• 2+ years of inpatient claims auditing or clinical documentation integrity experience required.
• Licensure is essential for nursing degrees.
• Proficiency in DRG methodologies and ICD-10-CM/PCS coding.

Responsibilities

• Conduct thorough DRG payment validation reviews.
• Audit patient medical records for accurate reimbursement.
• Collaborate with team leaders on DRG denials.

Skills

Inpatient claims auditing experience

Attention to detail

Analytical skills

Critical judgment in clinical determinations

Knowledge of clinical criteria

Education

Associate or Bachelor's degree in Nursing or Health Information Management

Job description

A healthcare intelligence company is seeking a DRG Reviewer to conduct payment validation reviews. The ideal candidate will possess a nursing degree or equivalent, with at least two years of inpatient claims auditing experience. Responsibilities include auditing medical records, providing clinical support, and ensuring compliance with regulations. The job offers a competitive salary between $90,000 and $115,000, alongside benefits like tuition reimbursement and a flexible work environment.