Job Abstract

In accordance with current federal & state coding compliance regulations and guidelines, the 'IP Coding Compliance Auditor" performs 2nd level reviews of previously coded inpatient accounts for MS-DRG validation purposes—including the accuracy and completeness of all ICD-10-CM and ICD-10-PCS code assigned by inpatient coders. Ensure appropriate MS-DRG & APR-DRG, including SOI & ROM scores. Performs 2nd level reviews of variables affecting MS-DRG and/or APR-DRG—such as—HA - Cs, PS - Is, Elixhause... more details

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