Remote DRG Reviewer
VirtualVocations
Working remotely on a full-time basis, the Remote DRG Reviewer will independently conduct comprehensive reviews of MS-DRG and APR-DRG coding and clinical documentation to ensure accurate DRG assignment and compliance with regulations. Key responsibilities Independently conduct MS-DRG and APR-DRG coding reviews, verifying ICD-10-CM/PCS assignments and identifying discrepancies Collaborate with the Medical Director on complex cases, providing expert recommendations to influence review outcomes Prepare clear audit findings and evaluate claims for compliance with state and federal regulations while managing workflow autonomously Required qualifications Associate's Degree in Health Information Management, Nursing, or a related field 4+ years of experience in MS-DRG and APR-DRG coding 2+ years of experience performing DRG reviews for a Payment Integrity vendor or Payer 2+ years of experience using DRG encoder/grouper software RHIT, RHIA, CCS, CICP, or CCDS certification required
Vacancy posted 2 days ago
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