Certified DRG ReviewerVirtualVocations • Santa Clara, California, United States
Certified DRG Reviewer
VirtualVocations • Santa Clara, California, United States
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A company is looking for a DRG Reviewer to join their remote Payment Integrity team.
Key Responsibilities
Analyze and review inpatient claims for adherence to Official Coding and Reporting Guidelines for ICD-10-CM / PCS codes
Conduct comprehensive initial reviews and screenings to verify clinical support for coded diagnoses
Achieve a production goal of 15-20 claims per day, increasing to 20 claims / day after six months, maintaining 95% accuracy in claim reviews
Required Qualifications
Must hold and maintain one of the following certifications : Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), or Registered Health Information Technician (RHIT)
A minimum of 3 years of experience in acute care inpatient coding or auditing
Bachelor's degree required
Experience level : Experienced
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Reviewer • Santa Clara, California, United States
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