Reviewing post-billed inpatient claims, the full-time remote DRG Auditor will identify and validate missed reimbursement opportunities using ICD-10 coding expertise while ensuring compliance with medical record documentation and DRG reimbursement methodology. Key Responsibilities Review inpatient claims in the DRG database for accuracy in diagnosis, procedures, and reimbursement Analyze hospital billing files to identify underpaid claims based on ICD-10 codes Conduct medical record reviews to ensure accuracy and completeness of submitted codes Required Qualifications Associate's or bachelor's degree in health information management or related field required Certified Coding Specialist (CCS) certification required 2-3 years of experience in DRG validation or inpatient medical coding Strong understanding of ICD-10-CM/PCS coding guidelines and DRG reimbursement methodology Experience in a post-bill coding environment and familiarity with DRG grouping software