Medical Biller

DRG auditor
Location: Maplewood Mn
Pay Rate: Negotiable
Duration: 12 months potential for extension

Summary:
We are seeking two experienced inpatient DRG Auditors for an asneeded role offering flexible hours (8-40 hours per week). Candidates may already have fulltime jobs, and the position is open to applicants on either the East or West Coast. The role will likely include two interviews .

Ideal candidates will have:

• 5-7+ years of inpatient hospital coding/auditing experience
• Experience working in acute care hospitals, large hospital systems, or academic medical centers
• Strong expertise with ICD10CM/PCS , MSDRG and APRDRG methodologies
• Understanding of Elixhauser scoring , HACs , PSIs , and clinical validation
• Prior exposure to Clinical Documentation Improvement (CDI) preferred
• Ability to independently perform DRG audits with high accuracy
• Strong analytical, communication, and documentation skills

Role Responsibilities:

• Perform inpatient DRG audits to validate the accuracy of coded diagnoses and procedures
• Review coder-assigned DRGs and determine whether documentation supports the assignment
• Identify opportunities for improved documentation and coding accuracy
• Conduct clinical validation reviews for diagnoses such as sepsis, acute kidney injury, respiratory failure, malnutrition, etc.
• Evaluate inpatient stays for HACs and PSIs
• Provide clear, written audit findings and education as needed
• Work independently while maintaining strong attention to detail and compliance
• Collaborate with coding and CDI teams when required

Additional Details:

• Flexible scheduling (8-40 hours/week)
• Asneeded contract role
• Ideal for someone currently working fulltime and available for supplemental work
• Strong preference for candidates with experience in large health systems