State Licensed DRG Quality Analyst

Key responsibilities: Apply clinical judgment for DRG audits to ensure accuracy of inpatient DRG coding Review the accuracy and consistency of clinical DRG auditing to ensure proper marking of audit findings Mentor Clinical DRG auditors and provide root cause analysis on errors

Required qualifications: Minimum 5 years of experience working with clinical validation audits

Active Coding Certification: CIC, CCS, CPC, RHIT, or RHIA Thorough understanding of medical terminology and human physiology Strong technical knowledge and ability to learn new systems quickly Superior auditing and monitoring skills