Sr. Certified Medical Coder

Position Title: Sr. Certified Medical Coder

Work Location: Remote - Any Time Zone

Assignment Duration: 9 Months (Potential to Extend or Convert)

Position Summary:

* This role will be working on production performing DRG audits daily.

* There may be a couple hours of trainings/meetings otherwise the remainder of the day is spent on production performing audits.

* The team utilizes AI support technology to perform audits more effectively and comfortability with the technology is a necessity for success.

* This role is unique because it combines clinical expertise and coding expertise to deliver a comprehensive review of the admission and coding to ensure proper payment.

Background & Context:

* The PICRA team has a backlog of 12,000 claims awaiting DRG audit we need to burn down and get complete to correct the payment and get responses out to providers.

* These staff would be joining a team of 14 FTE MCR's in a similar role and 4 Trainers/Auditors to support training and quality.

* This is closing out our hiring needs.

Key Responsibilities:

* Perform DRG audits daily.

* Participate in a couple of hours of training/meetings as required.

* Use AI support technology to perform audits effectively.

* Deliver accurate and comprehensive reviews of admissions and coding to ensure proper payments.

Qualification & Experience:

* Required Licensure: RN and RHIA, RHIT, CCS, or CIC.

* Preferred Education: BSN.

* Required Experience: 3 years of DRG Audit experience.

* Top 3 Must-Have Skills:

1. 
   

   DRG Audits

   
   
2. 
   

   Using technology to support medical record reviews

   
   
3. 
   

   Attention to detail