Search for Jobs

Applied Filters (1)
1 Result
VARIS LLC
AL, United States
13 days ago
VARIS LLC
Alabama, United States
13 days ago

Description

Auditing by the rules...

You can be the expert!

Join a team that is committed to excellence!


VARIS provides overpayment identification services to payers who utilize the diagnosis related group (DRG) methodology for acute inpatient claims payment. We are the only company across the nation focused solely on providing overpayment identification services within DRG and APC-paid claims, while offering a highly trained and experienced team of experts. Thus, our priority is our customers: to reduce their claims overpayments and ensure maximum use of claims payment dollars.  To learn more about VARIS, please visit www.varis1.com. 

            

Coding Validation Specialist The Coding Validation Specialist reviews provider medical records to validate accuracy of ICD-10-CM coding and ensure that accurate DRG is assigned while assuring that appropriate customer payment policies are applied to each case reviewed. The individual will abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association.

Responsibilities:

·  Performs data quality reviews of inpatient medical records to validate the ICD-10-CM codes and accuracy of the assigned DRG.

·  Maintains expert knowledge of ICD-10-CM coding conventions and rules, Official Coding Guidelines and AHA Coding Clinic.

·  Applies specific customer payment policies.

·  Validates patient data by comparing claims data received from customer with the patient medical record.

·  Develops rationale for any coding change that affects the DRG assignment to include Official Coding Guidelines, AHA Coding Clinic and coding conventions applied in making coding change.

·  Refers cases to Medical Director/independent peer review panel for clinical interpretation.



Requirements

Qualifications: The ideal candidate will possess a minimum of 5 years hospital inpatient coding for PPS reimbursement or at least 2 years experience performing DRG validation. Comprehensive knowledge of the DRG structure and regulatory requirements is required. The individual must have knowledge of word processing, spreadsheet, database and internet software and possess national certification as Certified Coding Specialist (CCS). Must have the ability to use computer applications, DRG Grouper/Pricer software and ICD-10-CM encoder software. Must demonstrate passion for coding and payment methodologies and positive self-direction.  After initial training, the candidate will transition to a remote position. 

Benefits: In exchange for your hard work and dedication, we offer excellent compensation with great benefits.

To Apply: To respond to this opportunity, please reply with a cover letter and your resume to: info@varis1.com. EOE

Job Information

  • Job ID: 57609591
  • Location:
    Alabama, United States
    Alaska, United States
    Arizona, United States
    Arkansas, United States
    California, United States
    Colorado, United States
    Connecticut, United States
    Delaware, United States
    Dist. Columbia, United States
    Florida, United States
    Georgia, United States
    Hawaii, United States
    Idaho, United States
    Illinois, United States
    Indiana, United States
    Iowa, United States
    Kansas, United States
    Kentucky, United States
    Louisiana, United States
    Maine, United States
    Maryland, United States
    Massachusetts, United States
    Michigan, United States
    Minnesota, United States
    Mississippi, United States
    Wisconsin, United States
    Wyoming, United States
    South Dakota, United States
    Tennessee, United States
    Texas, United States
    Utah, United States
    Vermont, United States
    Virginia, United States
    Washington, United States
    West Virginia, United States
    Missouri, United States
    Montana, United States
    Nebraska, United States
    Nevada, United States
    New Hampshire, United States
    New Jersey, United States
    New Mexico, United States
    New York, United States
    North Carolina, United States
    North Dakota, United States
    Ohio, United States
    Oklahoma, United States
    Oregon, United States
    Pennsylvania, United States
    Rhode Island, United States
    South Carolina, United States
  • Position Title: Coding Validation Specialist Remote
  • Company Name: VARIS LLC
  • Job Function: Academic Administrator,
    Auditing
  • Job Type: Full-Time
  • Job Duration: Indefinite
  • Min Education: HIM Certificate Program/ISP
  • Min Experience: 2-5
  • Required Travel: 10-25%

Please refer to the company's website or job descriptions to learn more about them.

View Full Profile

Jobs You May Like
Filters
Job Function
Job Type
State