Position Title: Sr. Certified Medical Coder
Work Location: Remote – Any Time Zone
Assignment Duration: 9 Months (Potential to Extend or Convert)

Position Summary:
• This role will be working on production performing DRG audits daily.
• There may be a couple hours of trainings/meetings otherwise the remainder of the day is spent on production performing audits.
• The team utilizes AI support technology to perform audits more effectively and comfortability with the technology is a necessity for success.
• This role is unique because it combines clinical expertise and coding expertise to deliver a comprehensive review of the admission and coding to ensure proper payment.

Background & Context:
• The PICRA team has a backlog of 12,000 claims awaiting DRG audit we need to burn down and get complete to correct the payment and get responses out to providers.
• These staff would be joining a team of 14 FTE MCR’s in a similar role and 4 Trainers/Auditors to support training and quality.
• This is closing out our hiring needs.

Key Responsibilities:
• Perform DRG audits daily.
• Participate in a couple of hours of training/meetings as required.
• Use AI support technology to perform audits effectively.
• Deliver accurate and comprehensive reviews of admissions and coding to ensure proper payments.

Qualification & Experience:
• Required Licensure: RN and RHIA, RHIT, CCS, or CIC.
• Preferred Education: BSN.
• Required Experience: 3 years of DRG Audit experience.
• Top 3 Must-Have Skills:

1. DRG Audits

2. Using technology to support medical record reviews

3. Attention to detail

 
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 48.00/hr.