Inpatient Coding Auditor – DRG Validation

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🕒 May 18

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Next Move Healthcare

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2019

⚕️ Healthcare Insurance

🎯 Recruiter

Healthcare Insurance • Recruitment • Staffing Solutions

Next Move Healthcare is a healthcare staffing agency dedicated to connecting registered nurses and allied healthcare professionals with rewarding travel contracts. As a nurse-owned and operated agency, it provides personalized service to clinicians, ensuring they find fulfilling positions and navigate the complexities of travel nursing with ease. The company focuses on speed and efficiency in job placement, working closely with healthcare institutions to offer exclusive contracts and multiple job opportunities for its candidates.

📋 Description

• Review inpatient medical records to validate accurate DRG assignment and coding compliance • Analyze patient charts to identify discrepancies in coding or clinical documentation • Ensure coding accuracy according to CMS regulations and industry coding guidelines • Conduct second-level reviews of DRGs, discharge dispositions, and Present on Admission (POA) indicators prior to billing • Collaborate with coding teams and clinical staff to resolve documentation and coding questions • Participate in coding audits and quality improvement initiatives • Research and respond to coding or documentation denials related to DRG assignments • Provide guidance and education to coding staff regarding documentation and coding best practices • Support regulatory compliance and internal audit activities

🎯 Requirements

• Minimum of 5 years of inpatient coding experience • Experience with DRG validation, auditing, or coding quality review • Strong understanding of clinical documentation and coding compliance standards • Ability to work independently in a remote environment • Strong analytical and communication skills • Associate's or Bachelor's degree in Health Information Management or a related field preferred • Candidates must hold at least one of the following credentials: RHIA, RHIT, CCS, CPC, CCS-P

🏖️ Benefits

• Competitive hourly compensation • Comprehensive medical, dental, and vision coverage • Three weeks of paid vacation • Fully remote work environment • Opportunity to work in a specialized coding and compliance role within healthcare operations