DRG Revenue Integrity Auditor

November 19

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CorroHealth

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Revenue Cycle Management • Revenue Integrity • Healthcare Data and Analytics

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

Description

• Perform Diagnostic Related Group (DRG) validation and quality audits on Inpatient charts. • Ensure all reviewed charts capture the patient’s true clinical picture. • Validate proper sequencing and accuracy of ICD-10-CM/PCS codes. • Analyze records for potential query opportunities and appropriate code assignment. • Maintain quality of reviews ensuring true clinical picture is captured timely. • Provide training and shadowing to new hires. • Assist with project data analysis, reporting, and feedback internally and externally. • Conduct chart reviews as assigned, meeting productivity standards.

Requirements

• Five or more years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). • Prior experience of working as a CDI/Coding auditor is preferred but NOT a requirement. • Experience with telecommuting and electronic medical record systems required. • Good computer skills and familiarity with commonly used work apps, such as MS Word, MS Excel, MS Outlook, Teams, etc. • Strong analytical skills. • Works well with numbers, using basic math skills. • Strong team player. • Ability to work with multiple and diverse clients and projects. • Ability to switch between multiple clients throughout the day and week. • Ability to work with minimal supervision. • Ability to maintain and access multiple files.