Job Description
Description We are looking for an experienced DRG Validation Coding Auditor to support accurate, compliant inpatient coding reviews for acute care services in Roanoke, Virginia. This position focuses on evaluating medical documentation, validating diagnosis and procedure code assignment, and identifying opportunities to strengthen coding accuracy, regulatory compliance, and reimbursement integrity. The ideal candidate brings strong inpatient auditing expertise, sound clinical judgment, and the ability to communicate well-supported recommendations to coding and documentation teams.
Responsibilities:
• Review acute inpatient records to assess whether documented conditions, procedures, and assigned DRGs are accurately supported by the medical record.
• Analyze coding outcomes for compliance with official inpatient coding guidance, payer-specific reimbursement methodologies, and applicable regulatory standards.
• Investigate discrepancies that may affect payment accuracy,...
Responsibilities:
• Review acute inpatient records to assess whether documented conditions, procedures, and assigned DRGs are accurately supported by the medical record.
• Analyze coding outcomes for compliance with official inpatient coding guidance, payer-specific reimbursement methodologies, and applicable regulatory standards.
• Investigate discrepancies that may affect payment accuracy,...
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