Senior DRG Validation Auditor | Payment Integrity Expert

SFNet is seeking a DRG Validation Auditor to review inpatient claims and ensure DRGs are accurate based on medical records and ICD-10 conventions. È essenziale assicurarsi di soddisfare i requisiti per questo ruolo; la preghiamo di leggere attentamente quanto segue. You will cite coding guidelines and clinics, write clear rationales, and stay 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,...

Role and Responsibilities 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, based on the documentation in the medical record and the application of ICD-10-CM and ICD-10-PCS coding conventions, instructions, guidelines, policies, and Coding...