UnitedHealth Group
DRG Coding and Clinical Validation RN Auditor - Remote
Pay33.75 - 66.25 / hour
LocationEden Prairie/Minnesota
Employment typeFull-Time
This job is now closed
Job Description
- Req#: 2202609
Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Salary up to $66.25 per hour
- Opportunity for career advancement and growth within the organization
- Work remotely from anywhere within the U.S.
- Comprehensive benefits package including equity stock purchase and 401k contribution
- Chance to make an impact on health equity on a global scale
- Supportive and inclusive work culture
What to Expect (Job Responsibilities):
- Conduct coding reviews to verify the accuracy of DRG assignment and reimbursement
- Utilize expert knowledge of ICD-10-CM/PCS coding guidelines and clinical criteria documentation requirements
- Perform clinical coding reviews to ensure accuracy of medical coding and billing
- Write clear and concise rationales supporting audit findings
- Utilize proprietary workflow systems and encoder tools efficiently and accurately
What is Required (Qualifications):
- Unrestricted RN (registered nurse) license
- CCS/CIC certification or obtain within 6 months of hire
- 3+ years of MS DRG/APR DRG coding experience in a hospital environment
- Expert knowledge of ICD-10 Official Coding Guidelines and DRG reimbursement methodologies
- Expert knowledge of ICD-10-CM and ICD-10-PCS coding
How to Stand Out (Preferred Qualifications):
- Experience with DRG audits and readmission reviews
- Experience with DRG encoder tools (ex. 3M)
- Proficiency in Microsoft Excel
- Healthcare claims experience
- Managed care experience
#HealthcareServices #CodingAuditor #RemoteWorkOpportunity #CareerGrowth #CompetitivePay
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
UnitedHealth Group Incorporated is an American multinational managed healthcare and insurance company based in Minnetonka, Minnesota.