Top Echelon
Vero Beach, FL
RN, DRG Coder / Clinical Auditor
Must be a Registered Nurse with experience
Remote | Full-Time | Healthcare | Clinical Documentation & Coding
About the Role
We’re seeking a detail-oriented DRG Coder/Clinical Auditor to perform DRG validation reviews of medical records and documentation. This role ensures accurate coding and clinical support for DRG assignments, helping improve billing accuracy, reimbursement, and compliance. You’ll work independently to review records, validate coding, and communicate findings clearly and professionally.
Key Responsibilities
Chart Review & Validation
Review medical records to validate DRG assignments and ensure clinical documentation supports coding decisions.
Physician Documentation Review
Confirm that physician notes and clinical indicators support assigned DRGs.
Audit & Compliance
Conduct audits to verify coding accuracy, enhance reimbursement, and identify cost-saving opportunities.
Coding Expertise
Apply ICD-10-CM and PCS...