Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $88,600 per year
- Eligible for a bonus incentive plan based on performance
- Comprehensive benefits including medical, dental, vision, 401(k), paid time off, and more
- Opportunity for professional development and continued education
- 100% remote work flexibility
- Work for a Fortune 100 company dedicated to employee well-being

What to Expect (Job Responsibilities):
- Conduct quality reviews of coding processes within the Claims Cost Management organization, focusing on DRG audits
- Drive process improvement initiatives and develop educational materials
- Handle provider disputes in a metrics-driven environment
- Analyze moderately to highly complex issues requiring in-depth evaluation
- Extract clinical information from medical records and assign appropriate codes (e.g., ICD-10-CM, CPT)

What is Required (Qualifications):
- Minimum of 7 years of DRG Coding experience
- At least 5 years of Quality Auditing experience
- Medical coding certification from AHIMA (RHIT, CCS, CICA, CHCA)
- Strong critical thinking skills and ability to manage diverse priorities
- Excellent writing, editing, interpersonal, and communication skills

How to Stand Out (Preferred Qualifications):
- Experience with CAS, MOATS, and FR
- Background in process improvement
- Multi-specialty auditing experience

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