Certified RN Auditor

Job Summary

A company is looking for a Certified RN Auditor.

Key Responsibilities:

• Conduct MS-DRG and APR-DRG coding reviews to verify accuracy of DRG assignment and reimbursement
• Apply expert knowledge of ICD-10-CM/PCS coding for accurate principal diagnosis selection and billing
• Utilize proprietary workflow systems and encoder tools for efficient case reviews and maintain daily assignments

Required Qualifications:

• Unrestricted RN license
• CCS/CIC certification (or obtain within 6 months of hire)
• 3+ years of MS-DRG and APR-DRG coding experience in a hospital environment
• Expert knowledge of ICD-10 Official Coding Guidelines and DRG reimbursement methodologies
• Ability to work independently in a remote environment