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
Attention to detail