RN Clinical Validation Auditor in Sioux Falls, SD

A company is looking for a DRG / Clinical Validation Auditor RN. Key Responsibilities Conduct MS-DRG and APR-DRG coding reviews to verify accuracy of DRG assignments and identify overpayments Perform clinical coding reviews to ensure accuracy of medical coding and support findings with clear rationales Utilize proprietary tools and maintain daily case review assignments with a focus on quality Required Qualifications Associate's Degree (or higher) Unrestricted RN (Registered Nurse) license CCS / CIC certification or willingness to obtain within 6 months of hire 3+ years of MS DRG / APR DRG coding experience in a hospital environment 2+ years of ICD-10-CM and ICD-10-PCS coding experience