Ensemble Health Partners
DRG Validation Coding Auditor
4 days agoWhat's your preference?
Job Description
- Req#: R038363
Employer Industry: Healthcare Revenue Cycle Management
Why consider this job opportunity:
- Salary up to $119,700 annually based on experience
- Bonus incentives and paid certifications available
- Comprehensive benefits package supporting physical, emotional, and financial health
- Opportunities for career advancement and professional development, including tuition reimbursement
- Award-winning company recognized for excellence in healthcare services
- Flexible work environment with remote work options
What to Expect (Job Responsibilities):
- Perform documentation and coding audits for all acute inpatient services, ensuring compliance with ethical coding standards
- Conduct DRG coding and clinical reviews to verify accuracy and appropriateness of coding and DRG assignment
- Assess clinical documentation to ensure it supports coded diagnoses and procedures
- Provide clear recommendations and feedback to acute inpatient coders, referencing current coding guidelines
- Maintain productivity and quality goals as set by audit leaders
What is Required (Qualifications):
- Minimum of 5 years of coding experience
- At least 3 years of facility coding audit experience, such as DRG and APC Validation
- Proficiency in multiple EMRs, encoders, and Microsoft Office Suite
- Bachelor’s degree or equivalent experience
- Must possess at least one professional certification (CCS preferred) such as CPC, CCS, RHIA, or RHIT
How to Stand Out (Preferred Qualifications):
- Extensive understanding of reimbursement guidelines, specifically related to DRG payment systems
- Ability to organize and complete work in a timely manner
- Above-average written and verbal communication skills
- Knowledge of HIPAA regulations and commitment to maintaining confidentiality
- Familiarity with medical/surgical terminology
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
Ensemble Health Partners is the leading revenue cycle management company for hospitals. We build relationships & find the best solutions to your challenges.
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