Logo
Addison Group

Inpatient DRG Validator

Addison Group, New York, New York, United States

Save Job

Job Title:

Inpatient DRG Validator Location (city, state):

United States Compensation:

$75,000–$90,000 annually Benefits:

This position is eligible for medical, dental, vision Qualifications:

AHIMA Key Responsibilities: Validate inpatient medical records to confirm accurate DRG assignment Review principal diagnoses, procedures, CCs/MCCs, and DRG shifts Maintain productivity standards of

20 charts per day Day-to-Day Responsibilities: Assigned daily inpatient validation cases by the end client Validate inpatient DRGs at the facility level Review trauma-heavy cases (Level 1 & 2) Work on long-term, ongoing projects (not short-term engagements) Qualifications: AHIMA certification (required) Minimum

5 years of inpatient coding/DRG experience

OR

3+ years of auditing experience Strong proficiency in

MS-DRG and APR-DRG

systems Proven experience validating DRGs for reimbursement accuracy Comfortable discussing DRG shifts, CC/MCC capture, and revenue impact Experience with

EPIC, 3M, and QC Tracker Strong attention to detail and documentation skills

REQUIRED Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.