DRG Validation Auditor - Off Hours Work (2nd, 3rd, or weekend shift work)
RemoteRemote (US)
Posted 1mo ago · via Icims
About this role
Overview This DRG Validation Auditor role is focused on our Cross Claim Clinical Reviews (CCCR). Auditors in this role will be doing DRG Validation for our prepay and retrospective audits and making determinations without a medical record. The ideal candidate for this position needs to have both a strong inpatient HIM/coding background and an understanding of clinical validation. This position is responsible for auditing inpatient claims and documenting the results of those audits, with a focus on clinical review, coding accuracy, and the appropriateness of treatment setting, services delivered and patient history. This is a Full-Time role, scheduled to work an off-hour shift from either 3 PM-11 PM or 11 PM-7 AM ET, including weekends & holidays.…
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What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
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2
Level fit
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3
Domain experience
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4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is remote-eligible. We factor in your stated location and time-zone overlap.
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Free · no card · written explanation included
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