DRG Validator
New
U
UASIHealthcare HIM
RemoteFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- Minimum of 3 years
- Required Skills
- Microsoft Excel
Requirements
- Certified coding credential (RHIA, RHIT, or CCS)
- Minimum of 3 years’ experience in inpatient coding and auditing or DRG validation
- Strong knowledge of ICD-10-CM/PCS coding systems
- Understanding of MS-DRG/APR-DRG methodologies
- Strong technical skills, including experience with VPNs, multi-factor authentication, and video conferencing tools
- Proficiency in Microsoft Office, particularly Outlook and Excel
- A consistent, reliable work schedule and punctual attendance
Responsibilities
- Review inpatient medical records to validate the accuracy of assigned DRGs
- Ensure compliance with ICD-10-CM/PCS coding guidelines and CMS regulations
- Identify discrepancies in coding or documentation and recommend corrections
- Collaborate with coding teams, CDI specialists, and physicians to clarify documentation
- Conduct audits to detect undercoding, overcoding, or billing errors
- Provide feedback and education to coding staff on DRG optimization and compliance
- Maintain productivity and quality standards for case reviews
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