Clinical Coding Auditor RN (Newark) in Newark, New Jersey
Integrated Resources, Inc ( IRI ) Full-time
Location
Newark, New Jersey
Job Type
Full-time
Company
Integrated Resources, Inc ( IRI )
Job Description
Would also prefer a NJ, NY, PA, DE, or CT resident
Job Summary:
This position is responsible for leading audits of hospital billing and coding practices, including desk audits, bill verification, DRG validation/utilization review audits, and credit balance reviews. The role also supports audit protocol development, trend analysis, special projects, and provides guidance on ICD-10-CM coding, DRG assignments, payments, and auditing processes.
Experience: • Experience with DRG validation, utilization review audits, and ICD-10-CM education required
Required Certifications & Licensure: • Active RN License required • CCS or RHIT/RHIA Certification required