Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Join a team focused on quality improvement and clinical excellence
- Work with industry-standard coding resources and practices
- Supportive and collaborative work environment
- Contribute to the development of clinical and billing recommendations

What to Expect (Job Responsibilities):
- Review clinical records to ensure appropriate billing practices using critical thinking and clinical judgment
- Conduct DRG and clinical validation reviews as part of the quality improvement process
- Apply knowledge of ICD-10 coding principles and government billing regulations
- Perform medical record reviews, chart audits, and analysis
- Make clinical determinations based on coding guidelines and conventions

What is Required (Qualifications):
- Current/Active RN license required
- Minimum of 3 years of acute care inpatient clinical experience
- Minimum of 3 years of hospital inpatient coding experience using ICD-10 within the last 2 years
- Demonstrated proficiency in medical record review and claims processing systems
- Excellent written and verbal communication skills

How to Stand Out (Preferred Qualifications):
- Bachelor's Degree from an accredited college or university
- Highly desirable certifications: CIC, COC, CPMA, CPCO
- Working knowledge of DRG validation and regulatory requirements
- Experience with Evidence-based care guidelines/MCG
- Proficient in Excel and experience with Adobe Pro

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