Job Description
- Job Description:
- Conduct QA audits to ensure accurate determinations and high-quality documentation
- Identify quality trends and develop corrective education and training
- Review medical records for accurate coding, compliance, and guideline adherence
- Document review decisions clearly for reporting and trending
- Requirements:
- Associates degree required; bachelor’s degree preferred
- Active, unrestricted RN licensure from the United States required
- One of the following Coding Certifications required: RHIA, RHIT, CCS, CIC, CCDS or CPC
- 5+ years clinical experience in an inpatient hospital setting required
- 3+ years of MS DRG/APR DRG coding or auditing experience
- Expert knowledge of ICD-10 Official Coding Guidelines and DRG reimbursement methodologies
- Excellent written communication skills for review determinations
- Benefits:
- Flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Leadership development academies
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