Remote DRG Revenue Integrity Auditor

CorroHealth Inc; Texas; Híbrido; USD 70 000 - 100 000; Tempo integral

Resumo da oferta

CorroHealth Inc. is seeking a DRG Revenue Integrity Auditor (DRG-A) for a remote, full-time role.

You will perform DRG validation and quality audits on inpatient records to ensure accurate clinical representation and that ICD-10-CM/PCS codes reflect patient care. You will identify documentation gaps, formulate compliant physician queries, and stay current with coding guidelines, CMS rules, and regulatory updates, while mentoring teammates and protecting patient privacy.

Qualificações

• DRG validation expertise
• ICD-10-CM/PCS coding accuracy
• AHIMA/ACDIS guidelines familiarity
• PHI privacy and compliance

Responsabilidades

• Perform detailed DRG validation reviews of inpatient charts to ensure accurate representation of patient care.
• Verify ICD-10-CM/PCS codes reflect the patient’s clinical condition and treatment.
• Assess sequencing and documentation for accuracy; identify gaps.
• Formulate compliant physician queries when appropriate to support coding integrity.
• Analyze records for coding opportunities and overall revenue integrity.
• Maintain high-quality reviews while meeting productivity and quality targets.

Descrição da oferta de emprego

CorroHealth Inc. is seeking a DRG Revenue Integrity Auditor (DRG-A) for a remote, full-time role.

You will perform DRG validation and quality audits on inpatient records to ensure accurate clinical representation and that ICD-10-CM/PCS codes reflect patient care. You will identify documentation gaps, formulate compliant physician queries, and stay current with coding guidelines, CMS rules, and regulatory updates, while mentoring teammates and protecting patient privacy.