Associate Auditor Clinical Validation Drg

Jobgether

United States
Fully remote
Clinical expertise
Coding validation skills
Drg/apr-drg accuracy knowledge
The Associate Auditor Clinical Validation DRG position is a detail-oriented role aimed at professionals with clinical and coding expertise, focusing on inpatient claim audits to ensure payment integrity and claims accuracy. The position offers the opportunity to work in a highly structured environment, utilizing analytical and regulatory knowledge while collaborating with experienced audit teams

Job Summary

  • This role focuses on performing inpatient claim audits to ensure coding validation and clinical appropriateness.
  • The position requires a detail-oriented healthcare professional with both clinical and coding expertise to contribute to payment integrity.
  • You will work in a fully remote environment using specialized audit tools to identify findings and support clear audit outcomes.

Matching Summary

Match Score: 85

The Associate Auditor Clinical Validation DRG position is a detail-oriented role aimed at professionals with clinical and coding expertise, focusing on inpatient claim audits to ensure payment integrity and claims accuracy. The position offers the opportunity to work in a highly structured environment, utilizing analytical and regulatory knowledge while collaborating with experienced audit teams.

Skills & Requirements

Must-have

  • clinical expertise
  • coding validation skills
  • DRG/APR-DRG accuracy knowledge
  • inpatient claim audit experience
  • treatment setting review

Nice-to-have

  • analytical thinking abilities
  • regulatory knowledge application
  • collaborative team environment
  • independent workload ownership
  • data-driven decision making

Key Requirements

  • Nursing or coding experience
  • Clinical and coding expertise
  • Regulatory knowledge

Work Rights

Not specified

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