UST Global is a private high growth organization headquartered in Orange County California and is a leading provider of Advanced Computing and Digital Services for Global 1000 companies worldwide.
Our next-generation digital consultancy is the ideal place for you to grow your career. Are you up for the challenge? Read on! Description
Clinical Analysts to perform DRG Audit Services, which shall include documentation verification, coding validation and clinical validation of billed Services.
Clinical Analysts will review all claims made available in the audit system and identify those claims that are incorrect or are inconsistent with the policies and guidelines
Clinical Analysts shall provide a payment recommendation based on that review through the audit system, which shall include documentation of the clinical Analyst s findings, including the rationale behind the findings, or conclusion of no finding, or a problem with the audit which requires escalation.
Must be a graduate of Nursing and must be a Registered Nurse
Must be a certified coding specialist (CSS) or certified inpatient coder (CIC)
1 year of clinical experience
Medical coding experience an advantage but not required
Amenable to working nights
Primary Location Organization