Trend Health Partners logo
Trend Health Partners

An independent, tech-enabled payment integrity company.

Nurse Coder, DRG Auditor I

AuditorAuditorFull TimeRemoteSeniorTeam 201-500Since 2018H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

100 days ago

Salary

$85K - $90K / year

Seniority

Senior

Professional CertificateEnglish

Job Description

Nurse Coder, DRG Auditor I

Trend Health Partners

• Review medical records and associated claim information to validate accuracy of DRG assignments, APC assignments and/or medical necessity for inpatient level of care • Apply coding and clinical principles based on industry standards and company/client guidelines • Utilize coding guidelines and clinical guidelines to perform DRG or APC validation • Validate principal diagnosis, secondary diagnoses, sequencing of diagnoses, discharge statuses and procedures utilizing the medical record • Evaluate short stay claims for medical necessity of an inpatient level of care • Apply CPT and ICD-10 guidelines • Apply policies, procedures, guidelines and regulations developed by Centers for Medicare and Medicaid Services (CMS), commercial payers, InterQual, MCG, and Trend Health Partners

Job Requirements

  • An active RN professional license in good standing
  • Clinical practice experience
  • Coding certification in good standing. Examples: CCS, CPC, CIC
  • Coding validation/auditing experience
  • Well-developed verbal and written communication skills coupled with recognizable organization
  • Ability to effectively prioritize tasks
  • Microsoft Office experience, specifically Excel

Benefits

  • Competitive salaries
  • Highly valued health insurance
  • 401(k) plan with employer match
  • Paid parental leave
  • Professional development opportunities

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