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Spectraforce TechnologiesKansas City, MO, United States
3 days ago
Job type
Full-time
Job description
Position Title : Sr. Certified Medical Coder
Work Location : Remote - Any Time Zone
Assignment Duration : 9 Months (Potential to Extend or Convert)
Position Summary :
This role will be working on production performing DRG audits daily.
There may be a couple hours of trainings / meetings otherwise the remainder of the day is spent on production performing audits.
The team utilizes AI support technology to perform audits more effectively and comfortability with the technology is a necessity for success.
This role is unique because it combines clinical expertise and coding expertise to deliver a comprehensive review of the admission and coding to ensure proper payment.
Background & Context :
The PICRA team has a backlog of 12,000 claims awaiting DRG audit we need to burn down and get complete to correct the payment and get responses out to providers.
These staff would be joining a team of 14 FTE MCR's in a similar role and 4 Trainers / Auditors to support training and quality.
This is closing out our hiring needs.
Key Responsibilities :
Perform DRG audits daily.
Participate in a couple of hours of training / meetings as required.
Use AI support technology to perform audits effectively.
Deliver accurate and comprehensive reviews of admissions and coding to ensure proper payments.
Qualification & Experience :
Required Licensure : RN and RHIA, RHIT, CCS, or CIC.
Preferred Education : BSN.
Required Experience : 3 years of DRG Audit experience.
Top 3 Must-Have Skills :
DRG Audits
Using technology to support medical record reviews