DRGV Auditor II
Core
Auditing inpatient medical records to validate DRG assignments and improve documentation.
Role type
DRG Auditor
Builds
Validated DRG assignments and improved documentation for hospitals and health systems
Domain
Healthcare revenue cycle management
Required skills
ICD-10 auditing, DRG reimbursement, acute inpatient auditing, medical record review, coding guidelines interpretation
Preferred skills
RHIA, RHIT, CCS credentials
Technologies
Proprietary auditing software, client EMR systems
Responsibilities
Review inpatient medical records for validation of DRG assignment, Provide detailed rationale and supporting evidence for recommendations, Utilize industry-recognized references to support review findings