Inpatient DRG Auditor

Focused on Coding & Clinical Chart Validation, the full-time Inpatient DRG Auditor will conduct audits of inpatient DRG claims, ensuring coding accuracy and appropriateness of treatment settings while utilizing proprietary auditing systems. Key responsibilities Audits inpatient DRG claims using medical chart coding principles and client-specific guidelines Utilizes audit tools to generate determinations and maintain productivity and accuracy standards Identifies potential claims for additional recoveries and contributes to process improvement initiatives Required qualifications Associate or bachelor's degree in Health Information Management (RHIA or RHIT) or equivalent experience in claims auditing Current coding/CDI certification such as RHIA, RHIT, CPC, CCS, CIC, CDIP, or CCDS 5 to 7+ years of experience with ICD-9/10CM, MS-DRG, and related coding systems Expert knowledge of official coding guidelines and compliance regulations Proficiency in Microsoft Office applications and strong organizational skills