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FAR DRG/CVT RN Auditor, MN - Remote Eligible
Conduct detailed audits of inpatient claims to identify and rectify coding inaccuracies.
Remote
Expert
$33.75-$66.25 USD per hour
1 month ago
✨ About The Role
- The role involves conducting MS-DRG and APR-DRG coding reviews to verify the accuracy of DRG assignments and reimbursement.
- The candidate will utilize expert knowledge to identify appropriate ICD-10-CM/PCS code assignments and ensure compliance with CMS requirements.
- The position requires performing clinical coding reviews and utilizing clinical expertise to determine correct coding and billing.
- The candidate will write clear and concise rationales in support of audit findings using official coding guidelines.
- The job entails maintaining and managing daily case review assignments with a strong emphasis on quality in a high-volume production environment.
âš¡ Requirements
- The ideal candidate will have an Associate’s Degree or higher and an unrestricted RN license.
- A minimum of 3 years of experience in MS-DRG/APR-DRG coding within a hospital environment is essential.
- The candidate should possess expert knowledge of ICD-10 Official Coding Guidelines and DRG reimbursement methodologies.
- Strong analytical skills and attention to detail are crucial for identifying overpayments and ensuring coding accuracy.
- Excellent written and verbal communication skills are necessary for composing rationales supporting audit findings.
FAR DRG/CVT RN Auditor, MN - Remote Eligible
Remote
$33.75-$66.25 USD per hour
Registered Nurse
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