Minnesota Licensed Clinical Auditor RN

Utilizing expert knowledge in MS-DRG and APR-DRG coding methodologies, the full-time Minnesota Licensed Clinical Auditor RN will conduct audits of inpatient claims, validate coding accuracy, and identify overpayments while working remotely from anywhere in the U.S. Key responsibilities: Conduct MS-DRG and APR-DRG coding reviews to verify accuracy and identify overpayments Utilize expert knowledge to ensure correct ICD-10-CM/PCS code assignments and compliance with coding guidelines Write clear rationales supporting audit findings based on coding guidelines and clinical criteria Required qualifications: Associate's degree Unrestricted RN (Registered Nurse) license CCS/CIC certification or willingness to obtain within 6 months of hire 2+ years of MS DRG/APR DRG coding experience in a hospital environment 2+ years of ICD-10-CM and ICD-10-PCS coding experience with expert knowledge of coding guidelines