Clinical Validation Auditor - CVA

Location: Remote
Compensation: Salary
Staff Reviewed: Wed, May 08, 2024
This job expires in: 13 days

Job Summary

A company is looking for a CVA Auditor III.

Key Responsibilities:
  • Conduct clinical reviews to verify DRG assignment accuracy and reimbursement
  • Utilize clinical guidelines and tools to identify overpayments and document audit findings
  • Meet productivity and quality goals, staying updated on clinical guidelines and regulations

Qualifications:
  • Registered Nurse with 5+ years of acute care nursing experience
  • Preference for candidates with prior clinical or coding validation audit experience
  • Prefer candidates with DRG retrospective overpayment identification auditing experience
  • Preference for candidates with CCS, RHIA, or RHIT coding credentials

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