DRG Revenue Integrity Auditor

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🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

Healthcare Insurance • SaaS • Artificial Intelligence

CorroHealth is a leading provider of clinically led healthcare analytics and technology-driven solutions, focused on enhancing the financial performance of hospitals and health systems. Their integrated solutions and advanced technologies aim to optimize the entire revenue cycle, offering services such as revenue cycle management, clinical documentation, medical coding, and denials management. With a commitment to improving financial health through intelligent technology and expert guidance, CorroHealth addresses complex payer-provider relationships and supports efficient healthcare operations.

📋 Description

• Perform Diagnostic Related Group (DRG) validation and quality audits on Inpatient charts. • Perform chart reviews and ensure all reviewed charts capture the patient’s true clinical picture. • Validate proper sequencing and accuracy of ICD-10-CM/PCS codes. • Maintain quality of reviews, ensuring true clinical picture is captured timely. • Support CorroHealth in developing accurate training materials. • Provide training and shadowing to new hires. • Assist CorroHealth with project data analysis, reporting, and feedback.

🎯 Requirements

• Five or more years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). • Experience with telecommuting and electronic medical record systems required • Good computer skills and familiarity with commonly used work apps, such as MS Word, MS Excel, MS Outlook, Teams, etc. • Strong analytical skills • Works well with numbers, using basic math skills • Strong team player • Ability to work with multiple and diverse clients and projects • Ability to switch between multiple clients throughout the day and week • Ability to work with minimal supervision • Ability to maintain and access multiple files.

🏖️ Benefits

• Professional development opportunities • Training for new hires