State Licensed Clinical Coding Auditor
VirtualVocationsHollywood, Florida, United Statesjob_description.job_card.1_day_ago
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A company is looking for a Sr. Clin Claim Review RN.
Key Responsibilities
Conduct MS-DRG and APR-DRG coding reviews to ensure accurate DRG assignment and identify overpayments
Perform clinical coding reviews using ICD-10-CM / PCS guidelines and maintain compliance with coding standards
Manage daily case review assignments with a focus on quality and provide clinical support to other areas
Required Qualifications
Unrestricted RN (registered nurse) license
CCS / CIC certification
3+ years of MS DRG / APR DRG coding experience in a hospital setting
Expert knowledge of ICD-10 Official Coding Guidelines and DRG reimbursement methodologies
In-depth understanding of ICD-10-CM and ICD-10-PCS coding structures and components
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