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Certified DRG Reviewer
Certified DRG ReviewerVirtualVocations • Lincoln, Nebraska, United States
Certified DRG Reviewer

Certified DRG Reviewer

VirtualVocations • Lincoln, Nebraska, 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 • Lincoln, Nebraska, United States

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