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DRG Reviewer Level 1
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Full-time
- As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews.
- Under the direction of the Coding Department leaders, the Level 1 DRG Reviewer will conduct initial reviews of the claims within the internal CORE application.
- Registered Health Information Administrator (RHIA) Registered Heath Information Technician (RHIT) Certified Coding Specialist (CCS) Certified Inpatient Coder (CIC) Candidates with a Registered Heath Information Technician (RHIT) Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP) or Certified Professional Coder (CPC) will be considered but will need to obtain an inpatient coding certification (CCS or CIC) within 12 months of hire.
- College level courses in medical terminology, anatomy, pathophysiology, pharmacology, and medical coding courses.
- At least 1 year of experience in MS-DRG and APR-DRG coding experience through acute care inpatient coding, auditing, and/or payment integrity DRG Validation.
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