Certified Coding Specialist

A company is looking for a DRG (Coding) Reviewer / Auditor.

Key Responsibilities

Analyze and review inpatient claims to validate ICD-10-CM / PCS codes for accurate DRG assignment

Perform comprehensive initial reviews as per standard operating procedures and departmental guides

Collaborate with physician reviewers and attend departmental meetings and training as required

Required Qualifications

Coding Certification required (CCS, CIC, or RHIT)

College-level courses in medical terminology, anatomy, pathophysiology, pharmacology, and medical coding

At least 3 years of experience in MS-DRG and APR-DRG validation in acute care inpatient coding

Working knowledge of industry-based standards and compliance guidelines

Proficiency in Outlook, Word, Excel, and other applications