
Senior Healthcare Auditor
2 weeks ago
Key Responsibilities
- Perform in-depth reviews of select inpatient medical records to ensure assigned codes and DRGs are supported by clinical documentation.
- Coding Specialists review diagnoses and procedures for required specificity, discharge disposition, and POA accuracy.
Mentorship and Training
- Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists.
- Foster a culture of continuous learning and improvement.
Qualifications and Experience
- Bachelor's degree in nursing or related field preferred.
- Minimum 2 years experience in IP DRG coding or auditing.
- Certification as CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder.
Required Skills and Abilities
- Auditing experience on IP DRG.
- Knowledge in Microsoft Office suite (Word, Excel).
- Exposure to 3M software and NLP tools.
Additional Responsibilities
- Follow all aspects of Standard Operating Procedures (SOPs) without fail.
- Complete received audits with high quality and accuracy.
- Achieve quality and production targets.
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