CDI-DRG Auditor

American Academy Holdings LLC (AAPC); United States; Remote; USD 70,000 - 90,000; Full time

Job summary

A healthcare services company is seeking a CDI-DRG Validation Auditor for a remote contract position. The role involves performing documentation and coding reviews to ensure accurate coding and appropriate reimbursement. Applicants should have at least 5 years of CDI experience in inpatient and outpatient settings, along with certifications like CDIP or CCDS. Strong knowledge of healthcare coding and auditing is essential.

Qualifications

• Minimum of 5 years of CDI expertise in facility inpatient and outpatient services.
• Extensive knowledge of healthcare coding, billing, and auditing.
• Strong knowledge of coding guidelines.

Responsibilities

• Review hospital records to validate the accuracy of coding and ensure appropriate reimbursement.
• Identify and resolve complex coding discrepancies and write technical rationales.
• Communicate findings to project leads and maintain confidentiality.

Skills

Healthcare coding

Auditing

Compliance

Clinical indicators

Coding software proficiency

Education

Certification such as CDIP (AHIMA) or CCDS (ACDIS)

Tools

Electronic health record systems

Job description

A company is looking for a CDI-DRG Validation Auditor to perform documentation and coding reviews in a remote contract position.

Key Responsibilities

• Review hospital records to validate the accuracy of coding and ensure appropriate reimbursement
• Identify and resolve complex coding discrepancies and write technical rationales for changes
• Communicate findings to project leads and maintain confidentiality of protected health information

Required Qualifications

• Extensive knowledge of healthcare coding, billing, auditing, and compliance for inpatient and outpatient facilities
• Minimum of 5 years of CDI expertise in facility inpatient and outpatient services
• Strong knowledge of clinical indicators and coding guidelines
• Proficiency in coding software and electronic health record systems
• Certification such as CDIP (AHIMA) or CCDS (ACDIS) is required