Drg Revenue Integrity Auditor

Corro Health

Not specified; not specified; medical, dental, vis...
Fully remote
Icd-10-cm/pcs terminology expertise
Inpatient chart review proficiency
Federal law compliance adherence
The role focuses on performing Diagnostic Related Group validation and quality audits on inpatient charts to ensure accurate coding compliance with federal laws

Job Summary

  • The role focuses on performing Diagnostic Related Group validation and quality audits on inpatient charts to ensure accurate coding compliance with federal laws.
  • Candidates must utilize ICD-10-CM/PCS terminology and clinical criteria like MCG and InterQual to capture the true clinical picture of patients.
  • The position offers a remote, predictable full-time schedule with benefits including medical coverage, 401K matching, and allowances for continuing education.

Matching Summary

The role focuses on performing Diagnostic Related Group validation and quality audits on inpatient charts to ensure accurate coding compliance with federal laws.

Salary

Not specified; Not specified; Medical, Dental, Vision, 401K match included

Skills & Requirements

Must-have

  • ICD-10-CM/PCS terminology expertise
  • Inpatient chart review proficiency
  • Federal law compliance adherence
  • ACDIS and AHIMA guideline knowledge
  • Clinical criteria usage (MCG/InterQual)
  • Query composition and analysis skills

Nice-to-have

  • Training new hires effectively
  • Project data analysis capabilities
  • Remote work self-discipline
  • Strong team collaboration skills
  • Professional etiquette maintenance

Key Requirements

  • CCS certification required
  • Five years acute care or vendor experience
  • Prior DRG auditor or CDI specialist experience preferred

Work Rights

Not specified

Tailored Resume

Cover Letter