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California Licensed DRG Integrity Analyst

Virtual Vocations Inc

Dedicated to DRG validation workflows, the full-time California Licensed DRG Integrity Analyst will perform clinical and coding assessments on inpatient encounters, identifying DRG risks and optimization opportunities while working remotely. Key responsibilities Perform initial DRG-focused screening of assigned inpatient charts according to established workflows Conduct high-level assessments to identify DRG risk and documentation or coding misalignment Document screening outcomes and escalate cases with validated opportunities to Clinical Coding Analysts (CCAs) Required qualifications Minimum one year of experience with inpatient coding and/or clinical documentation integrity Working knowledge of MS-DRG and/or APR-DRG methodology Experience reviewing inpatient medical records within established workflows AHIMA (CCS, RHIT, RHIA, or CDIP) or ACDIS (CCDS) credential required

Vacancy posted 3 days ago
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