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Job #: 1511904

Job Title: Remote DRG Validation Data Expert

Salary / Package: $90-100k dependent on experience plus bonus

Specialties: Data Analyst, DRG Auditors

Locations: Home-Based/Remote, AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY

Town / City: Remote

Job Type: Permanent full-time

Job description:

- Seeking a forward-thinking individual that has a unique blend of Inpatient Coding/Validation/CDI experience coupled with confidence in using Excel for Data Analysis

- Candidate should be confident in Excel using pattern analysis, pivot tables and working with large amounts of data to identify trends

- Identify recovery opportunities for clients through validation reviews by examining the documentation to determine the accuracy of the DRG

- Writes clear, accurate and concise rationales in support of findings

- Prior experience working Denials/Appeals

- Prior experience working with third party payers

- No management experience required

Qualifications required:

- Payer experience either working directly for a payer or a vendor who has payers as clients

- Recent production coding/auditing experience

- RHIA, RHIT or CCS required

- Degree in Health Informatics preferred

- Certified Health Data Analyst (CHDA) credential through AHIMA preferred

- SQL experience a plus

- Candidates currently employed by Humana are unfortunately not able to be considered for this opportunity


- These aren't contract or temp to hire positions, H.I.M. Recruiters only represents what we feel are HIM Career opportunities and have been doing so for nearly 30 years!

- These are permanent positions working directly for a rapidly growing organization!

- Solid benefit package

- $90-100K dependent on experience plus bonus

- Job #1511904

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