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DRG Validator

Nesco Resource

The DRG Validation position focuses on auditing inpatient medical records to ensure accurate coding, provider documentation, and DRG assignment. This role requires strong expertise in MS-DRG and APR-DRG payment systems, ICD-10-CM/PCS coding, and hospital reimbursement policies.

Key Responsibilities

  • Perform concurrent and retrospective clinically based MS-DRG and APR-DRG validation reviews in compliance with UHDDS, Medicare guidelines, and federal/state regulations.
  • Review the correct assignment of ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes.
  • Use facility encoders, EMRs, abstracting systems, and auditing tools such as 3M, Epic, and TruCode to support audit determinations.
  • Write clear and concise rationales supporting audit findings.
  • Prepare physician queries for documentation clarification.
  • Educate coders and other healthcare professionals based on audit findings.
  • Review DRG/coding denial letters and draft appeal responses supporting hospital determinations.
  • Provide recommendations for optimal coding and DRG/SOI assignment.
  • Stay current on regulatory and coding rule changes.
  • Maintain high productivity and accuracy standards, including a 95% to 100% quality accuracy rate.
  • Communicate effectively with physicians, CDI staff, and other clinicians regarding documentation and coding guidelines.
Requirements & Qualifications

Qualifications

  • AHIMA certification required: CCS, RHIT, or RHIA.
  • Extensive knowledge of medical terminology, anatomy, coding terminology, and ICD-10-CM/PCS, CPT, and modifier guidelines.
  • 5+ years of experience in DRG/clinical validation, claims auditing, quality assurance, or recovery auditing.
  • 5+ years of experience working with ICD-10-CM/PCS, MS-DRG, and APR-DRG.
  • Strong understanding of medical claims billing/payment systems and payer reimbursement policies.
  • Knowledge of Official Coding Guidelines, Coding Clinic determinations, CMS requirements, and regulatory compliance standards.
  • Proficiency with Microsoft Outlook, Word, Excel, PowerPoint, 3M, TruCode, Teams, and SharePoint.
  • Strong written and verbal communication skills.
  • Ability to educate healthcare professionals in various settings.
  • Strong analytical, research, and time management skills.
  • Must meet or exceed deadline completion expectations.

Experience

  • ICD coding experience: 5 years required
  • AHIMA certification required

Location

N/A

Employment Type

Full-time

Experience Level

Senior

Remote work allowed

No

Posted

3 weeks ago

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