DRG Auditor - Revenue Integrity

Job description

ABOUT THIS POSITION: We are looking for a Revenue Integrity DRG Auditor who has a comprehensive understanding of hospital Revenue Cycle Management. Significant experience in the following areas: hospital inpatient coding, DRG assignment, charge capture, and hospital reimbursement methodologies. The candidate must have experience with using excel and performing financial analysis reviews. The ideal candidate for this position can approach problem-solving challenges independently, possess leadership experience, strong attention to detail, can provide outstanding customer service and enjoys working in a fast-paced, collaborative and team-based environment. WHAT YOU'LL DO: Achieve and maintain assigned client financial performance goals Validate code and DRG assignment and supporting clinical documentation based on physician documentation, UHDDS guidelines and official coding guidelines using proprietary technology and medical records Assist in prediction enhancements to increase verification rates WHAT YOU'LL NEED: Self-sufficient with strong analytical and research skills In depth knowledge related to coding hospital inpatient record types, clinical documentation, payer reimbursement...