State Licensed DRG Auditor
Company: VirtualVocations
Location: Anaheim
Posted on: February 4, 2025
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Job Description:
A company is looking for a Diagnosis Related Group - Auditor III
- Appeals.
Key Responsibilities:
Review MS-DRG and/or APR-DRG provider appeals for accuracy in DRG
assignment and reimbursement
Document appeal results clearly, citing appropriate coding
guidelines
Identify and communicate audit trends and perform audits as
needed
Required Qualifications:
7+ years of experience in MS-DRG and APR-DRG auditing
Expert knowledge of AHA Coding Guidelines and DRG reimbursement
methodologies
Active AHIMA CCS certification
Experience with DRG encoder tools (3M, Webstrat, Pricers)
Prior experience managing provider DRG appeals
Keywords: VirtualVocations, Highland , State Licensed DRG Auditor, Accounting, Auditing , Anaheim, California
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