RN Coding Quality Analyst - Chicago Illinois

Company: VirtualVocations
Location: Chicago, Illinois
Posted On: 01/22/2025

A company is looking for a Sr Coding Quality Analyst RN.



Key Responsibilities

Conduct MS-DRG and APR-DRG coding reviews to verify accuracy and identify overpayments
Utilize expert knowledge of ICD-10-CM/PCS coding to ensure compliance with guidelines and accurate coding
Write clear rationales supporting audit findings and utilize workflow systems for audit determinations


Required Qualifications

Unrestricted RN (registered nurse) license
CCS/CIC certification or willingness to obtain within 6 months of hire
3+ years of MS DRG/APR DRG coding experience in a hospital setting
Expert knowledge of ICD-10-CM and ICD-10-PCS coding guidelines
Strong understanding of clinical criteria documentation requirements More...

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