New York Licensed Clinical Validation Nurse

A company is looking for a DRG Clinical Validation Nurse.\n\nKey Responsibilities : \n\nPerform clinical validation by ensuring diagnosis codes billed by the provider are supported within the medical record\n\nInterpret clinical guidelines / criteria and apply them to clinical reviews\n\nMaintain and manage case reviews with a high emphasis on quality\n\nRequired Qualifications : \n\nMinimum of two years' experience in clinical validation in a payment integrity setting required\n\nUnrestricted Registered Nurse with active RN licensure required\n\nCCS (Certified Coding Specialist) or CIC (Certified Inpatient Coder) certification preferred\n\nKnowledge of ICD-10 coding\n\nBasic knowledge of DRG validation and coding