Tektite HR Solutions- Recruiters Empowering Talent MSDRG Nurse (DRG Validation Auditor)

MSDRG Nurse (DRG Validation Auditor)

Tektite HR Solutions- Recruiters Empowering Talent

Urgente

€898-1K[Mensual]

Hibrida - TaguigExp de 3-5 YrsBaceleroTiempo completo

Descripción del trabajo

Beneficios

Reconocimiento y Recompensas de Empleados
Evaluación Anual, Programa de Reconocimiento de Empleados, Incentivos
Seguro de salud y bienestar
HMO
Beneficios Beneficios
Subsidio de Formación
Desarrollo profesional
Entrenamiento de Job, Desarrollo profesional
Tiempo de apagado y abandono
Abandonamiento médico familiar, Salida por vacío
Balance de vida laboral
Horas flexibles, Trabajo desde casa

Descripción

Conduct regular audits of medical records for MS-DRG compliance.
Analyze documentation to ensure accuracy and completeness in coding.
Review paid claims to identify overpayments or underpayments from hospitals, rehabilitation centers, and skilled nursing facilities.
Collaborate with clinical staff to educate on DRG guidelines.
Prepare reports on audit findings and recommend process improvements.
Stay updated on CMS regulations and coding standards.
Ongoing training is provided for coding updates and audit protocols.

Requisito

Educational Qualifications: Bachelor’s degree in Nursing or related field required.
Experience Level: 3-5 years of experience in inpatient and outpatient coding.
Skills and Competencies: Proficient in ICD-10-CM/PCS, DRG assignment (MS/APR), HAC/POA validation, data analysis, and Microsoft Office.
CCS certification.
Working Conditions: Primarily office-based with potential remote work options; flexible hours may be required.
Amenable to Taguig hybrid work & night shift.
Experience mentoring junior coders.
Qualities and Traits: Detail-oriented, critical thinker, self-motivated, and able to work independently.

Codificación internaCodificación AmbulatoriaTrabajar de forma independienteICD-10-CM/PCSDRG Assignment (MS/APR)HAC/POA ValidationAnálisis de datosMicrosoft OfficePensamiento críticoDetail-Oriented