DRG Validator

3 weeks ago
Full-time
Mid Level
Quality Assurance and Testing
UASI Solutions

UASI Solutions

UASI Solutions is a top provider of revenue cycle solutions for healthcare facilities, offering coding services and Health Information Management solutions with a focus on accuracy and efficiency.

Diversified Financial Services
251-1K
Founded 1984

Description

  • Review inpatient medical records to validate the accuracy of assigned DRGs.
  • Ensure compliance with ICD-10-CM/PCS coding guidelines and CMS regulations.
  • Identify coding and documentation discrepancies and recommend corrections.
  • Collaborate with coding teams, CDI specialists, and physicians to clarify documentation.
  • Conduct audits to detect undercoding, overcoding, and billing errors.
  • Provide feedback and education to coding staff on DRG optimization and compliance.
  • Maintain productivity and quality standards for case reviews.

Requirements

  • Certified coding credential such as RHIA, RHIT, or CCS.
  • Strong knowledge of ICD-10-CM/PCS coding systems.
  • Understanding of MS-DRG and APR-DRG methodologies.
  • Minimum of 3 years of experience in inpatient coding, auditing, or DRG validation.
  • Experience with VPNs, multi-factor authentication, and video conferencing tools.
  • Proficiency in Microsoft Office, especially Outlook and Excel.
  • Consistent, reliable work schedule with punctual attendance.
  • Experience supporting inpatient coding and auditing in a remote environment is preferred.

Benefits

  • Remote work opportunity from home.
  • Tools and support for professional growth and development.
  • Dynamic work environment.
  • Career growth and development opportunities.
  • Strong leadership.
  • Top pay.

Interested in this position?

Apply directly on the company website

Apply Now

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