Senior DRG Validation Auditor | Payment Integrity Expert

Role and ResponsibilitiesNon è sicuro/a delle competenze necessarie per questa opportunità? Legga la descrizione completa qui sotto per avere un quadro completo dei requisiti richiesti.The DRG Validation Auditor is a valued member of the Penstock Audit team, responsible for reviewing inpatient claims and ensuring that the DRG paid is fair and accurate,...

SFNet is seeking a DRG Validation Auditor to join the Penstock Audit team. You will review inpatient claims and medical records to ensure DRG payments are fair, citing ICD-10-CM/PCS guidelines and Coding Clinic advice. Responsibilities include identifying discrepancies, writing clear rationales, and staying current with coding and regulatory changes. The...

Penstock is seeking a DRG Validation Auditor to join the Audit team to review inpatient claims and ensure DRG accuracy based on documentation and coding conventions. The role emphasizes honesty, excellence, and innovation in payment integrity. Responsibilities include using ICD-10-CM/PCS guidelines, writing detailed rationales, and staying current with...

Role and Responsibilities Non è sicuro/a delle competenze necessarie per questa opportunità? Legga la descrizione completa qui sotto per avere un quadro completo dei requisiti richiesti. The DRG Validation Auditor is a valued member of the Penstock Audit team, responsible for reviewing inpatient claims and ensuring that the DRG paid is fair and accurate,...