Remote Senior DRG/Inpatient Auditor

Jobgether; Oregon; Hybrid; USD 73,000 - 99,000; Full time

Benefits offered by this job

Fully remote within the United States

Medical, dental, and vision benefits

401(k) retirement plan options

Professional development opportunities

Mentorship programs for career growth

Up to 10% travel for team meetings and

Job summary

Jobgether, on behalf of a partner company, seeks an experienced DRG/A PR auditor for a fully remote US-based role. You will perform MS-DRG and APR-DRG reviews, ensure coding accuracy, and identify potential reimbursement overpayments.

You will use 3M and Webstrat, produce evidence-based reports, and stay current on coding guidance and HIPAA standards. The position offers remote work within the United States, up to 10% annual travel, and opportunities to work with major healthcare clients in a

Qualifications

• 4+ years of MS-DRG/APR-DRG inpatient coding experience.
• Strong knowledge of ICD-10-CM/PCS guidelines and DRG methodologies.
• Experience with retrospective DRG audits and identifying overpayments.
• Professional coding certifications such as CCS, CIC, CPC, RHIA, RHIT.
• Proficiency with DRG encoder and auditing tools 3M and Webstrat.

Responsibilities

• Conduct MS-DRG and APR-DRG audits to assess inpatient coding accuracy.
• Apply ICD-10-CM/PCS guidelines and DRG methodologies for defensible reviews.
• Identify overpayments through retrospective DRG audits with documentation.
• Prepare audit reports with evidence-based findings and coding references.
• Utilize 3M and Webstrat to improve audit accuracy and efficiency.
• Maintain high-quality outcomes by meeting productivity and quality standards.
• Stay current with coding updates, reimbursement policies, and HIPAA compliance.
• Collaborate with colleagues and stakeholders to promote auditing best practices.
• Ensure confidentiality and data security in handling health information.

Skills

MS-DRG and APR-DRG inpatient coding

ICD-10-CM/PCS coding guidelines

AHA Coding Clinic guidance

DRG reimbursement methodologies

Retrospective DRG audits

3M encoder

Webstrat

Analytical and communication skills

Microsoft Office (Excel, Word, OneNote

Education

High school diploma

Certifications: CCS, CIC, CPC, RHIA, RHIT

Tools

3M encoder

Webstrat

Job description

Jobgether, on behalf of a partner company, seeks an experienced DRG/A PR auditor for a fully remote US-based role. You will perform MS-DRG and APR-DRG reviews, ensure coding accuracy, and identify potential reimbursement overpayments.

You will use 3M and Webstrat, produce evidence-based reports, and stay current on coding guidance and HIPAA standards. The position offers remote work within the United States, up to 10% annual travel, and opportunities to work with major healthcare clients in a