DRG Validation Coding Auditor

Job Summary

A company is looking for a DRG Validation Coding Auditor.

Key Responsibilities

• Perform documentation and coding audits for acute inpatient services, identifying coding errors and compliance issues
• Conduct clinical reviews to verify accuracy of coding and DRG assignment in accordance with guidelines
• Provide feedback and education to coders, ensuring audits are completed accurately and timely

Required Qualifications and Education

• 5+ years of coding experience
• 3+ years of facility coding audit experience, specifically in DRG and APC Validation
• Bachelor's Degree or equivalent experience
• Current certification such as CCS, CPC, RHIA, or RHIT
• Knowledge of HIPAA regulations and medical/surgical terminology