Managing comprehensive reviews of MS-DRG and APR-DRG coding, the full-time Registered Health Information Technician will ensure coding accuracy and compliance while working remotely, leveraging advanced expertise in ICD-10-CM/PCS coding and clinical documentation. Key responsibilities Independently conducts MS-DRG and APR-DRG coding and clinical validation reviews, verifying ICD-10-CM/PCS assignments and identifying discrepancies Collaborates with the Medical Director on complex cases, providing expert recommendations to influence review outcomes Prepares clear audit findings and evaluates claims for compliance with regulations and payer contracts, exercising independent judgment Required qualifications Associate's Degree in Health Information Management, Nursing, or related field 4+ years of experience performing MS-DRG and APR-DRG coding 2+ years of experience in DRG reviews for a Payment Integrity vendor or Payer 2+ years of experience using DRG encoder/grouper software RHIT, RHIA, CCS, CICP, or CCDS certification required
Registered Health Information Technician in workfromhome at Unknown Company
This position is listed as contract and able to be worked remotely.