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DRG Coding Auditor - MS-DRG and APR-DRG Elevance Health
CHICAGO, IL3 days ago
- $92,880–$160,218 Per Year
Highlights
Under supervision, this position is responsible for researching and analyzing itemized bills and/or medical records for facility and inpatient claims to validate coding accuracy. National coding certification from AAPC or AHIMA, including one or more of the following: Certified Professional Coder (CPC).
Numbers & Facts
| Location | Chicago, IL |
Description
Job Title: Coding Compliance Auditor
Contract Duration: 3 months, possible extension
Work Arrangement: Remote
Summary
This position is responsible for the accurate coding of claims by providers. Under supervision, this position is responsible for researching and analyzing itemized bills and/or medical records for facility and inpatient claims to validate coding accuracy. This position audits itemized bills and/or medical records to ensure compliance with the organization's coding procedures and standards according to CMS Coding Guidelines and Official ICD-10 Coding Guidelines and recommends coding corrections.
Requirements
Contract Duration: 3 months, possible extension
Work Arrangement: Remote
Summary
This position is responsible for the accurate coding of claims by providers. Under supervision, this position is responsible for researching and analyzing itemized bills and/or medical records for facility and inpatient claims to validate coding accuracy. This position audits itemized bills and/or medical records to ensure compliance with the organization's coding procedures and standards according to CMS Coding Guidelines and Official ICD-10 Coding Guidelines and recommends coding corrections.
Requirements
- Associate Degree or 2 years of experience working in the health insurance industry
- 2 years of medical coding experience through medical record abstraction
- National coding certification from AAPC or AHIMA, including one or more of the following:
- Certified Professional Coder (CPC)
- Certified Coding Specialist Physician (CCS-P)
- Registered Health Information Administrator (RHIA)
- Registered Health Information Technician (RHIT)
- PC experience and skills, including Microsoft Word, Excel, and Outlook
- Clear and concise verbal and written communication skills
- Analytical skills
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