Drg quality control coder | Fort Worth, TX

for which review services are being provided. This involves completing medical records review, accurately documenting findings and non-findings and providing clinical/policy/regulatory support for the determination. Experience using, ICD-10-CM & PCS coding guidelines, the ability to understand modern pharmacology, disease management and clinical intervention procedures.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES: The Clinical Auditor will look at individual medical records to check for missing documentation The Clinical Auditor will check for physician's notes supporting the DRGs assigned Reviewing medical records to determine accuracy of billing through verification of coding and supporting

clinical documentation Conducting audits to ensure accurate charge capture, enhancing reimbursement and identifying potential savings Demonstrated knowledge of, ICD-10-CM codes, PCS and DRG coding, understanding of payer rules and regulations, including Medicare and Medicaid with the ability to work independently with minimal supervision and demonstrate initiative Able to clearly and accurately communicate findings Other duties as assigned KNOWLEDGE & SKILLS: Proficient in both MS and APR DRG methodology Working knowledge of application of current Official Coding Guidelines and Coding Clinic citations Solid knowledge and understanding of clinical criteria documentation requirements used to successfully

substantiate code assignments Proficient in Medicare and CMS guidelineinteractiontreme attention to detail Must possess problem solving, critical thinking skills Effective and professional communication skills, both verbal and written Ability to think and work independently, while working in an overall team environment Ability to work in a fast paced/production environment Proficient in Microsoft Office Suite EDUCATION & EXPERIENCE: Required minimum of 2 years of recent DRG Quality Auditing experience in a hospital setting, or health plan.

National Coding Certification required through AHIMA (preferred) or AAPCExtensive hands-on ICD-10 CM / PCS experience required Minimal typing experience PAY RANGE: Cor Vel uses a market based approach to pay and our salary ranges may vary depending on your location.

Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. Pay Range: $65,326 – $99,887A list of our benefit offerings can be found on our Cor Vel website: Cor Vel Careers Opportunities in Risk Management ABOUT CERi S: CERi S, a division of Cor Vel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners.

Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT! ). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/shop, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

Cor Vel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. For more details: jobs-search. org/insurance_fort-worth-c448653/drg-quality-control-coder-fort-worth_i1971184644