Clinical RN Auditor

Key responsibilities: Conduct MS-DRG and APR-DRG coding reviews to verify accuracy of DRG assignments and reimbursement Utilize knowledge of ICD-10 coding guidelines to ensure proper code assignment and compliance with CMS requirements Write clear rationales supporting audit findings based on coding guidelines and clinical documentation

Required qualifications: Associate's degree Unrestricted RN (Registered Nurse) license CCS/CIC certification or willingness to obtain within 6 months of hire 2+ years of MS DRG/APR DRG coding experience in a hospital environment 2+ years of ICD-10-CM and ICD-10-PCS coding experience with expert knowledge of coding guidelines