Coder, DRG Auditor I

🔥 32 minutes ago

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Trend Health Partners

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2018

⚕️ Healthcare Insurance

💳 Fintech

🤖 Artificial Intelligence

💰 Private Equity Round on 2023-01

Healthcare Insurance • Fintech • Artificial Intelligence

Trend Health Partners is a healthcare technology company focused on enhancing payer-provider collaboration to improve financial management in healthcare. By leveraging AI-enabled technology, Trend Health Partners offers solutions to reduce credit balances, minimize payment denials, and ensure payment accuracy, ultimately fostering better relationships among stakeholders in the healthcare ecosystem. With a commitment to neutrality and efficiency, they aim to reshape the healthcare financial landscape for the benefit of providers, payers, and patients alike.

📋 Description

• Review medical records and associated claim information to validate accuracy of DRG assignments and/or Itemized Billing • Utilize coding guidelines to perform DRG validation • Validate principal diagnosis, secondary diagnoses, sequencing of diagnoses, discharge statuses and procedures utilizing the medical record • Apply CPT and ICD-10 guidelines • Validate itemized bill payments utilizing the UB-04, the itemized bill and industry/client coding guidelines • Provide appeal responses for claims utilizing industry standards and company/client policies • Maintain certifications and continuing education requirements

🎯 Requirements

• 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

• Health insurance • 401(k) plan with employer match • Paid parental leave • Competitive salaries • Comprehensive compensation package.