Remote DRG Revenue Integrity Auditor Optimize Reimbursement

CorroHealth, Inc.; Northern (KY); Híbrido; USD 70 000 - 100 000; Tempo integral

Resumo da oferta

CorroHealth, Inc. is seeking a DRG Revenue Integrity Auditor to work remotely in the US. The role focuses on validating DRGs, reviewing inpatient charts, and ensuring accurate coding and documentation to support revenue integrity.

You will collaborate with coding leaders and clinicians to maintain high-quality CDI standards. As part of a team of experts, you will stay updated on coding guidelines and payer policies, mentor peers, and contribute to audits and training content.

Qualificações

• Knowledge of ICD-10-CM/PCS coding and DRG validation.
• Experience with inpatient medical records review.
• Familiar with AHIMA/ACDIS CDI best practices.
• Ability to identify documentation gaps and formulate queries.

Responsabilidades

• Perform DRG validation and quality audits on inpatient records.
• Ensure ICD-10-CM/PCS codes reflect clinical condition and treatment.
• Review POA, SOI, ROM, CMI, and HCC capture for accuracy.
• Stay current with coding guidelines and regulatory updates.

Conhecimentos

DRG validation

ICD-10-CM/PCS coding

Medical record review

Documentation improvement

Query development

Regulatory knowledge

Ferramentas

MCG

InterQual

NCD/LCD policy

AHIMA guidelines

Descrição da oferta de emprego

CorroHealth, Inc. is seeking a DRG Revenue Integrity Auditor to work remotely in the US. The role focuses on validating DRGs, reviewing inpatient charts, and ensuring accurate coding and documentation to support revenue integrity.

You will collaborate with coding leaders and clinicians to maintain high-quality CDI standards. As part of a team of experts, you will stay updated on coding guidelines and payer policies, mentor peers, and contribute to audits and training content.