Remote DRG Clinical Audit Supervisor

CorVel Corporation; Fort Worth (TX); Hybrid; USD 90,000 - 120,000; Full time

Job summary

CorVel Corporation seeks a DRG Clinical Supervisor to lead clinical auditors in validating DRG coding for inpatient records. This remote role emphasizes diagnostic accuracy, policy support, and regulatory compliance, ensuring clinically supported determinations.

Ideal candidates have CCS/CIC credentials with 3–5 years DRG auditing and at least 2 years of supervisory experience, plus familiarity with Medicare/Medicaid guidelines and denials/appeals.

Qualifications

• CCS or CIC credential required with DRG auditing experience in ICD-10-CM/PCS.

Responsibilities

• Supervise all daily activities of the DRG Clinical Auditors.
• Perform DRG validation audits and ensure code accuracy in inpatient records.
• Maintain overall integrity and quality of diagnosis and procedure codes verified by clinical review nurses.
• Enforce quota and accuracy targets for the DRG Clinical Auditors.
• Provide coverage support for the team and assist as needed.
• May travel overnight for meetings or training.
• Other duties as assigned.

Skills

Clinical knowledge

HIPAA privacy & security

Relationship building

Attention to detail

Problem solving

Independent work in team environment

Fast paced production

Microsoft Office proficiency

Education

CCS or CIC

N./L.V.N. preferred

Medicare/CMS guidelines knowledge

Tools

Microsoft Office

Job description

CorVel Corporation seeks a DRG Clinical Supervisor to lead clinical auditors in validating DRG coding for inpatient records. This remote role emphasizes diagnostic accuracy, policy support, and regulatory compliance, ensuring clinically supported determinations.

Ideal candidates have CCS/CIC credentials with 3–5 years DRG auditing and at least 2 years of supervisory experience, plus familiarity with Medicare/Medicaid guidelines and denials/appeals.