Clinical Validation Auditor - CVA

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