State Licensed APR DRG Analyst
virtual vocationsDenver (CO)
State Licensed APR DRG Analyst
Posted today
virtual vocationsDenver (CO)
SENIORITY
Senior
About the role
Collaborating with Payment Integrity Audit program leaders, the remote Senior Manager - APR DRG Concept Development Analyst will research, develop, and implement inpatient DRG audit selection criteria while analyzing performance metrics to ensure alignment with team goals.
Key Responsibilities:
Serve as a subject matter expert for research and analysis to identify overpayment opportunities in APR-DRG validation
Collaborate with audit and analytic teams to review and monitor concept performance pre-and post-implementation
Utilize internal selection tools to build queries and test concept effectiveness, delivering insights to senior leaders
Required Qualifications:
10+ years of inpatient coding or auditing experience with mastery-level expertise in APR-DRG methodology
Bachelor's degree in health information management, Healthcare Informatics, or Health Care Administration
Active AHIMA certification (RHIA, RHIT, or CCS)
Experience with encoder tools (3M, Trubridge) and large data sets
Proficient in Microsoft Excel, including advanced functions and pivot tables
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.