DS Technologies Inc · 2 months ago
Diagnosis Related Group DRG Auditor III
United States
Full-time
Remote
Mid Level
$70K/yr - $90K/yr
4+ years expDS Technologies Inc provides innovative, transformative IT services and solutions. They are seeking a Diagnosis-Related Group (DRG) - Auditor III to conduct comprehensive coding reviews and ensure accuracy in DRG assignment and reimbursement, while adhering to industry regulations and guidelines.
Information Technology & Services
Responsibilities
Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement
Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications
Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations
Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits
Meet or exceed EXL’s quality and productivity standards, including strong uphold rates for appeals
Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge
Adhere to HIPAA and EXL policies and procedures to ensure data security and regulatory compliance
Qualification
Required
Minimum High School Diploma
CCS, RHIA, or RHIT credential
4+ years of MS-DRG/APR-DRG coding experience
Deep understanding of AHA Coding Guidelines
Deep understanding of DRG reimbursement methodologies
Strong proficiency with DRG encoder tools (3M, Webstrat)
Expert-level inpatient coding knowledge
In-depth understanding of ICD-10-CM/PCS coding guidelines
Self-motivated and able to work independently in a remote environment
Exceptional time management, problem-solving, and analytical skills
Strong written and verbal communication with attention to detail
Proficient in Excel, Word, and OneNote
Strong overall computer literacy
Passion for DRG auditing
Commitment to teamwork, collaboration, and continuous learning
Preferred
Higher education preferred
Multiple credentials preferred
Prior experience in DRG retrospective overpayment identification auditing is highly desirable
Benefits
401(k)
401(k) matching
Dental insurance
Health insurance
Paid time off
Company
DS Technologies Inc
DS Technologies Inc - SUCCESS IS OUR DUTY At DS Technologies, we’re more than just a technology provider – we’re your strategic partner in navigating the digital revolution.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase