Inpatient DRG Coding Auditor

Job not on LinkedIn

🔥 3 minutes ago

🏈 Alabama, Florida, +12 more states – Remote

🏈 Alabama – Remote 🐊 Florida – Remote 🌽 Illinois – Remote ⚜️ Louisiana – Remote 🗻 New Hampshire – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🚗 Michigan – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote 🧀 Wisconsin – Remote

💵 $39 - $47 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Emory Healthcare

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

🔬 Science

Healthcare • Education • Science

Emory Healthcare is the academic health system of Emory University that brings together research, education and clinical practice to provide comprehensive patient care across Georgia. It operates multiple hospitals and provider locations (noted in their materials as 11 hospital and provider locations across the state) and offers a broad range of services and specialized centers — for example, the Emory Winship Cancer Institute (an NCI-designated Comprehensive Cancer Center), the Emory Brain Health Center, and Heart & Vascular programs. Emory Healthcare emphasizes patient-focused care, advanced therapies, clinical trials, and integrated services such as MyChart patient portal, financial/visitor resources, and specialty centers for oncology, neurology, cardiology, transplant, orthopaedics, and more.

📋 Description

• Review inpatient medical records for select payer populations post-discharge and pre-bill • Audit the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data including POA and Discharge Disposition • Review discrepancies between Clinical Documentation Specialist (CDS) DRG and Coder DRG • Review non-CC/MCC records to determine whether records were miscoded or additional documentation is needed • Work with Coders and CDSs to draft and initiate physician queries • Perform reviews in a timely manner to maintain the DNFB target of 4 days • Coordinate educational and training programs regarding technical coding and clinical topics for coding staff • Coordinate remediation when required • Educate physicians, nursing, and other clinical staff in collaboration with Coding leadership, Quality nurses, and the CDS team to improve documentation • Review DRG Reassignment letters and assist in formulating Appeal letters

🎯 Requirements

• High school diploma • Minimum five (5) years experience with coding ICD-10 in an acute care setting • Previous experience in performing DRG coding audits • Certified Coding Specialist (CCS) certification • Knowledge of DRG and grouping methodologies (MS DRG's and AP DRG's), particularly diagnoses/procedures impacting DRG assignment • Basic computer skills in word processing and spreadsheet utilization • Excellent interpersonal skills • Excellent prioritization and organizational skills • Must be physically located and authorized to work in Alabama, Arkansas, Florida, Georgia, Illinois, Louisiana, Michigan, New Hampshire, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, or Wisconsin • Ability to meet physical requirements including lifting up to 50 lbs and carrying objects up to 25 lbs • Ability to work in environments with listed hazards and use personal protective equipment, including respirators, as required • Shift work and travel may be required

🏖️ Benefits

• Comprehensive health benefits that start day 1 • Student Loan Repayment Assistance & Reimbursement Programs • Family-focused benefits • Wellness incentives • Ongoing mentorship, development, leadership programs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume