- Remote, United States
- Remote
- Full-time · Senior
- $73K–$99K per year
- 4+ years
Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement.
Compensation
Salary Range: $73,000 – $98,700 (based on experience, skills, and qualifications)
Responsibilities
- Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement.
- Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications.
- Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations.
- Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits.
- Meet or exceed EXL’s quality and productivity standards, including strong uphold rates for appeals.
Requirements
- High School Diploma