The role is responsible for overseeing the execution, quality, and delivery of complex concurrent and retrospective coding audits to ensure financial health goals are met
Job Summary
The role is responsible for overseeing the execution, quality, and delivery of complex concurrent and retrospective coding audits to ensure financial health goals are met.
Candidates must maintain a minimum 95% accuracy threshold in quality assurance while supervising a team of auditors and providing second-level reviews.
The position requires active professional credentials such as RHIA, RHIT, CCS, or CPC along with at least five years of experience in DRG auditing or HIM consulting.
Matching Summary
The role is responsible for overseeing the execution, quality, and delivery of complex concurrent and retrospective coding audits to ensure financial health goals are met.
Skills & Requirements
Must-have
DRG auditing experience
ICD-10-CM/PCS knowledge
CPT and MS-DRG expertise
Team supervision skills
95% accuracy QA threshold
Nice-to-have
Consulting environment experience
Process improvement initiatives
Client liaison capabilities
Strong report writing skills
Subject matter expert status
Key Requirements
RHIA, RHIT, CCS, or CPC credential required
Minimum 5 years DRG auditing experience
Previous supervisory or lead auditor experience preferred