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Inpatient Facility (2nd lvl reviewer/auditor)

LexiCode • Remote, US • published 2026-11-09 19:00:02.166583

Description

* Performs analysis of medical records and provider claims to validate appropriate DRG and ICD\-10\-CM/PCS code assignment, including complex medical and surgical cases * Ensures that assigned codes and DRGs are supported by clinical documentation utilizing payer\-specific clinical criteria * Applies Official Guidelines for Coding and Reporting consistently and appropriately * Provides detailed written explanations to support or rebut coding/DRG recommendations

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