CorVel

Job Summary: CERIS in Fort Worth, Texas is seeking a DRG Coder/Clinical Auditor. The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding that is clinically supported as defined by review methodologies specific to the contract 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. Job Duties and 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...

Job Summary: CERIS in Fort Worth, Texas is seeking a DRG Coder/Clinical Auditor. The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding that is clinically supported as defined by review methodologies specific to the contract 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. Job Duties and 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...