REMOTE - DRG Auditor
Toms River, Ocean County, New Jersey, 08757, USA
Listed on 2026-10-18
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Healthcare
Medical Billing and Coding
We’re seeking an experienced DRG Revenue Integrity Auditor to review inpatient hospital records and confirm coding accurately reflects the care provided. This role is a fit for a coding professional who can work independently, explain audit findings clearly, and help improve documentation and coding accuracy.
What you’ll do- Audit inpatient records for accurate ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, code sequencing, and DRG assignment.
- Review present-on-admission indicators, severity of illness, risk of mortality, and the revenue impact of coding decisions.
- Identify documentation gaps and prepare compliant physician queries when clarification is needed.
- Apply official coding guidelines, CMS requirements, and relevant payer policies.
- Share audit findings and practical feedback with internal teams and clients while meeting quality and productivity standards.
- Work across hospital EHR and coding systems while protecting patient information.
- At least three years of inpatient coding experience and strong ICD-10-CM/PCS and DRG knowledge.
- CCS or RHIT certification. DRG auditing experience is preferred.
- Experience with clinical documentation review and physician queries.
- Familiarity with hospital EHR systems such as Epic, Cerner, or Meditech.
- Strong analytical skills, attention to detail, and clear written communication.
- Additional CDI credentials, such as CDIP or CCDS, are a plus.
360X Staffing is a national staffing and workforce management company headquartered in Phoenix, Arizona, that specializes in providing vetted skilled tradespeople, craftsmen, and professionals for commercial, industrial, and infrastructure projects.
Company Description360X Staffing is a national staffing and workforce management company headquartered in Phoenix, Arizona, that specializes in providing vetted skilled tradespeople, craftsmen, and professionals for commercial, industrial, and infrastructure projects.
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