MSDRG Nurse (DRG Validation Auditor)

Tektite HR Solutions- Recruiters Empowering Talent

Urgente
R$5.7-6.7K[Mensual]
Híbrido - Taguig3-5 anos ExpBacharelTempo Inteiro
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Descrição do Trabalho

Benefícios

  • Recompensas e reconhecimento de funcionário

    Opinião Anual, Programa de reconhecimento de funcionário, Incentivos

  • Saúde e Bem-Estar

    HMO

  • Benefícios de Habilidades

    Subsidio de treinamento

  • Desenvolvimento Profissional

    Treinamento de Trabalho, Desenvolvimento Profissional

  • Tempo de desligamento e Saída

    Licença médica familiar, Férias Deixadas

  • Balanço de Vida

    Horas Flexíveis, Trabalho de casa

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Descrição:

  • Conduct regular audits of medical records for MS-DRG compliance.
  • Analyze documentation to ensure accuracy and completeness in coding.
  • Review paid claims to identify overpayments or underpayments from hospitals, rehabilitation centers, and skilled nursing facilities.
  • Collaborate with clinical staff to educate on DRG guidelines.
  • Prepare reports on audit findings and recommend process improvements.
  • Stay updated on CMS regulations and coding standards.
  • Ongoing training is provided for coding updates and audit protocols.

Requisito

  • Educational Qualifications: Bachelor’s degree in Nursing or related field required.
  • Experience Level: 3-5 years of experience in inpatient and outpatient coding.
  • Skills and Competencies: Proficient in ICD-10-CM/PCS, DRG assignment (MS/APR), HAC/POA validation, data analysis, and Microsoft Office.
  • CCS certification.
  • Working Conditions: Primarily office-based with potential remote work options; flexible hours may be required.
  • Amenable to Taguig hybrid work & night shift.
  • Experience mentoring junior coders.
  • Qualities and Traits: Detail-oriented, critical thinker, self-motivated, and able to work independently.
Codificação inpacienteCodificação AmbulatorialTrabalhar de forma independenteICD-10-CM/PCSDRG Assignment (MS/APR)HAC/POA ValidationAnálise de dadosMicrosoft OfficePensamento CríticoDetail-Oriented
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Bayacham Yashim

OwnerTektite HR Solutions- Recruiters Empowering Talent

Responder Hoje 0 Vezes

Local de trabalho

2nd Floor, One World Square

Postado em 19 August 2025

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