Certified DRG Reviewer

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