Company Overview
Headquartered in Jacksonville, FL, CSI Companies partners with organizations nationwide to deliver solutions-focused workforce services. As a boutique division of RGF Staffing, one of the world’s largest recruiting and information services providers, we have the resources necessary to scale with any enterprise, yet are small enough to maintain the agility, personal service and remarkable experience we’ve become known for over the past 27 years. This is your workforce, and your business… reimagined.
About the job
Do you want to work for a company that Forbes named one of the Top 50 Most Innovative Companies? Are you looking to fast-track your career with one of LinkedIn’s top companies in the U.S.? If so, keep reading!
Title of Job: Remote Inpatient DRG Coding Auditor RN
Location: REMOTE (anywhere in the US)
CSI Companies is hiring a Remote Inpatient DRG Coding Auditor RN for our Fortune 100 healthcare client in Minnetonka, MN. This job can be worked from anywhere in the US as long as you have high speed internet and a distraction-free home office area.
Job Summary
The Remote Inpatient DRG Coding Auditor RN is primarily responsible for validating diagnosis and procedure codes, DRG assignments, and discharge statuses using industry-standard and proprietary tools to identify overpayments. This role is essential for ensuring accuracy and compliance in inpatient billing practices.
Pay: $34.50 – 41.50 an hour based on experience.
Hours: Full Time – Monday-Friday Normal Business Hours (Ex. 8am-5pm, 7:30-4pm etc.)
Why this Opportunity?
Top ranked company in Fortune’s “World’s Most Admired Companies” 14 years in a row.
This healthcare client is ranked number one in key attributes of reputation:
Innovation
People management
Social responsibility
Quality of Management
Financial soundness
Long-term investment value
Quality of products
Services and global competitiveness
Status:
Temp to Perm position. This position will go permanent with this Fortune 100 company, and upon hire they will be eligible for outstanding benefits, 3 weeks of PTO, extremely low full coverage medical coverage, and much more! When you convert, this could very likely be eligible for a pay increase as well.
Effective Date / Tentative Start Date: Interviewing Immediately
Job Duties:
Conduct MS-DRG and APR-DRG coding reviews to verify DRG assignments and reimbursement accuracy with a focus on identifying overpayments
Accurately assign ICD-10-CM/PCS codes, ensure proper code sequencing, and determine present on admission (POA) status and discharge disposition in compliance with CMS requirements
Apply current ICD-10 Official Coding Guidelines and AHA Coding Clinic guidance to validate claims
Perform clinical coding reviews and utilize clinical expertise to ensure accuracy and compliance in billing
Demonstrate proficiency in anatomy, physiology, diagnostic procedures, and surgical operations to support accurate code assignments
Draft clear, concise rationales for audit findings using coding guidelines and clinical documentation
Leverage proprietary workflow systems and encoder tools efficiently to process claims and document audit outcomes
Stay current with updates to coding guidelines, reimbursement trends, and client-specific requirements
Manage daily case review assignments, prioritizing quality and productivity
Provide clinical expertise to support investigative and analytical initiatives
Requirements
Active, unrestricted Registered Nurse (RN) license
Associate’s Degree or higher
CCS (Certified Coding Specialist) or CIC (Certified Inpatient Coder) certification or the ability to obtain within six months of hire
Minimum of 3 years of MS-DRG/APR-DRG coding experience in a hospital setting with expertise in ICD-10 coding and DRG reimbursement methodologies
Advanced knowledge of:
ICD-10-CM coding principles, including principal diagnosis selection, CCs/MCCs, and SOI/ROM considerations.
ICD-10-PCS coding principles, including root operations, body systems, devices, and qualifiers
A reliable high-speed internet connection (the faster the better!)
Ability to pass a background check and drug test
Private, quiet, and distraction-free workspace in a room with a closed-door
Highly Preferred
Large corporation experience
Health plan / managed care / healthcare industry experience
Experience with prior DRG concurrent and/or retrospective overpayment identification audits
Experience with readmission reviews of claims
Experience with DRG encoder tools (ex. 3M)
Experience using Microsoft Excel with the ability to create / edit spreadsheets, use sort / filter function, and perform data entry
WHO SHOULD APPLY?
If you have experience in DRG, coding, medical coding, RN, registered nurse, nurse, ICD-10, PCS, procedural coding, investigation, facility, in-patient, audit, DRG coding, DRG auditing, validation, coder, or precertification, we would love for you to apply!
Apply to become part of the team that is not only changing people’s lives for the better but changing the health care system for the next generations to come.
About Us
The CSI Companies is a recruiting firm established in 1994 that has been awarded “Best of Staffing” for 8 years in a row. We provide outstanding services to the world’s leaders in the healthcare field as well as other organizations. For consideration, please submit your resume with all of your relevant experience included on it for immediate consideration. Only those candidates identified for an interview will be contacted.
Benefits Offered:
Weekly pay
Medical, dental, and vision coverage
Voluntary Life and AD&D coverage
Paid Training
Opportunity for advancement upon performance and availability
How to Apply:
APPLY