RN Coding Auditor: DRG Validation & CDI Review

DaMar Staffing; United States; On-site; USD 75,000 - 120,000; Full time

Job summary

DaMar Staffing is seeking a Registered Nurse with expertise in inpatient coding to validate DRG assignments and ensure documentation supports coding decisions.

The successful candidate will review Medicare and non-Medicare charts, apply coding rules, and communicate DRG changes to CDI staff. NYS RN licensure and CHHA experience are highly preferred. This is a full-time, on-site opportunity in New York.

Qualifications

• Graduate from an accredited School of Nursing.
• Bachelor's Degree in Nursing required or equivalent.
• Current New York State RN license.
• Specialized certifications as needed.
• Prior CHHA Nursing experience strongly preferred.

Responsibilities

• Validates Acute Inpatient coded charts to ensure diagnostic information is substantiated by documentation.
• Leverages clinical expertise to identify and validate DRG code assignments.
• Conducts full review of CDI suggested code changes.
• Performs coding audits for optimization in accordance with regulations.
• Audits Medicare/non-Medicare charts to ensure compliance with Federal and State regulations.
• Applies coding rules and regulations to the validation review process.
• Communicates DRG changes and rationale to the coding and CDI staff.
• Identifies appropriate coding changes to provide the most valid documentation.
• Works under general guidance with independent decisions on course of action.
• Reviews potential reassignments and documents timely decisions.

Skills

Clinical expertise

DRG coding

Auditing

Regulatory compliance

Medical record review

Education

Bachelor's Degree in Nursing

Job description

DaMar Staffing is seeking a Registered Nurse with expertise in inpatient coding to validate DRG assignments and ensure documentation supports coding decisions.

The successful candidate will review Medicare and non-Medicare charts, apply coding rules, and communicate DRG changes to CDI staff. NYS RN licensure and CHHA experience are highly preferred. This is a full-time, on-site opportunity in New York.