DRG Auditor, Inpatient ICD-10-CM/PCS :

LexiCode

Remote Inpatient ICD-10-CM/PCS DRG Auditors

Work from home positions

Job Summary-

As a DRG Auditor at LexiCode, you will join a dynamic team of consulting experts dedicated to delivering exceptional audit services to our valued clients.

Pay Disclosure:

LexiCode is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The pay range for this position starts at $80,000; however, base pay offered may vary depending on job-related knowledge, skills, and experience. Bonus opportunities may be provided as part of the compensation package, in addition to a full range

Job Description

Essential Functions and Responsibilities

? Performs analysis of medical records and provider claims to validate appropriate DRG and ICD-10-CM/PCS code assignment, including complex medical and surgical cases

? Ensures that assigned codes and DRGs are supported by clinical documentation utilizing payer-specific clinical criteria

? Applies Official Guidelines for Coding and Reporting consistently and appropriately

? Provides detailed written explanations to support or rebut coding/DRG recommendations

Qualifications

Required:

* RHIA, RHIT, or CCS credential from AHIMA; or an CIC from AAPC

* 3 or more years of Inpatient/DRG auditing experience in an acute care setting or payer setting

* Expertise in ICD-10-CM/PCS, IPPS/MS-DRG and APR-DRG methodology and logic

* Excellent knowledge of ICD-10-CM/PCS Official Guidelines for Coding and Reporting, AHA Coding Clinics to support audit findings

* Proficiency in identifying clinical indicators to support documented diagnoses

* Outstanding computer skills and ability to work in multiple client-specific healthcare systems

* Excellent written communication and critical thinking skills

* Ability to efficiently review large volumes of documents with high comprehension level

* Secure home office environment, compliant with HIPAA and LexiCode's security requirements

Preferred:

* Experience in a payer coding/clinical DRG audit setting