Senior DRG Coder (Remote) - Audit & Reimbursement

Astrana Health Management; Orange (CA); On-site; USD 45,460 - 52,348; Full time

Job summary

Astrana Health Management is seeking a Senior DRG Coder to review inpatient medical records and assign diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS. The role is critical to ensuring coding accuracy and compliance within hospital reimbursement frameworks.

Candidates should possess an associate’s degree, at least five years of inpatient coding experience, and relevant certifications. The position offers a competitive hourly wage and requires remote work capabilities with occasional in-person meetings.

Qualifications

• Minimum of 5 years of inpatient coding experience.
• Minimum of 2 years of advanced DRG validation, auditing, or hospital reimbursement experience.
• Certifications such as CCS, RHIA, RHIT, CIC, or CPC from recognized bodies are required.

Responsibilities

• Review inpatient hospital records and assign accurate codes.
• Conduct coding validation and auditing.
• Analyze denials and underpayments related to coding.

Skills

ICD-10-CM knowledge

ICD-10-PCS knowledge

Analytical skills

Organizational skills

Communication skills

Education

Associate's degree in Health Information Management or related field

Tools

Coding software

Electronic medical records

Microsoft Office

Job description

Astrana Health Management is seeking a Senior DRG Coder to review inpatient medical records and assign diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS. The role is critical to ensuring coding accuracy and compliance within hospital reimbursement frameworks.

Candidates should possess an associate’s degree, at least five years of inpatient coding experience, and relevant certifications. The position offers a competitive hourly wage and requires remote work capabilities with occasional in-person meetings.