Remote RN DRG Coder & Clinical Auditor

DaMar Staffing; Tucson (AZ); On-site; USD 90,000 - 105,000; Full time

Job summary

Pivotal Placement Services, headquartered in Central Florida, seeks a detail‑oriented RN DRG Coder/Clinical Auditor for remote, full‑time work. You will validate DRG assignments, review physician documentation, and perform audits to improve reimbursement and compliance.

The role requires an active RN license, inpatient ICD-10 coding experience, and CDI familiarity. Certification (AHIMA/AAPC) preferred; CCS or CIC strongly preferred. MS Office skills required.

Qualifications

• Active RN license required.
• Minimum 1 year DRG auditing experience in a hospital or health plan.
• Inpatient ICD-10 coding experience required.
• CDI candidates encouraged to apply.
• AHIMA or AAPC certification preferred; CCS or CIC strongly preferred.
• Proficient in MS Office; familiarity with APR DRG and CMS guidelines.

Responsibilities

• Chart Review & Validation: Review medical records to validate DRG assignments and ensure clinical documentation supports coding decisions.
• Physician Documentation Review: Confirm that physician notes and clinical indicators support assigned DRGs.
• Audit & Compliance: Conduct audits to verify coding accuracy, enhance reimbursement, and identify cost-saving opportunities.
• Coding Expertise: Apply ICD-10-CM and PCS coding guidelines, payer rules, and regulatory standards (Medicare, Medicaid, CMS).
• Communication & Reporting: Clearly document findings and communicate results in a professional and concise manner.
• Other Duties: Support additional documentation and coding-related tasks as assigned.

Skills

RN Licensure

DRG Auditing

Inpatient ICD-10 Coding

CDI Experience

Communication

Attention to Detail

MS Office

Tools

MS Office Suite

APR DRG Methodology

Coding Clinic Citations

CMS Guidelines

Job description

Pivotal Placement Services, headquartered in Central Florida, seeks a detail‑oriented RN DRG Coder/Clinical Auditor for remote, full‑time work. You will validate DRG assignments, review physician documentation, and perform audits to improve reimbursement and compliance.

The role requires an active RN license, inpatient ICD-10 coding experience, and CDI familiarity. Certification (AHIMA/AAPC) preferred; CCS or CIC strongly preferred. MS Office skills required.