Remote Inpatient DRG Coding Auditor

RCM Healthcare Services; New York (NY); On-site; USD 85,000 - 95,000; Full time

Job summary

RCM Healthcare Services is seeking a DRG Coding Reviewer to support inpatient coding validation and payment integrity initiatives. This remote, full-time role offers a salary of $85,000 to $95,000 plus competitive benefits, 401(k) match, and PTO.

You will review inpatient claims to validate ICD-10 coding and DRG assignments, perform coding and clinical validation reviews, and collaborate with physician reviewers.

Qualifications

• 3+ years of MS-DRG/APR-DRG validation experience and/or inpatient coding experience
• Strong knowledge of ICD-10, CMS guidelines, and coding compliance

Responsibilities

• Review inpatient claims to validate ICD-10 coding and DRG assignment
• Perform coding and clinical validation reviews
• Collaborate with physician reviewers as needed
• Maintain productivity and 95%+ accuracy standards

Skills

MS-DRG/APR-DRG validation

ICD-10 knowledge

Job description

RCM Healthcare Services is seeking a DRG Coding Reviewer to support inpatient coding validation and payment integrity initiatives. This remote, full-time role offers a salary of $85,000 to $95,000 plus competitive benefits, 401(k) match, and PTO.

You will review inpatient claims to validate ICD-10 coding and DRG assignments, perform coding and clinical validation reviews, and collaborate with physician reviewers.