DRG Validation Auditor

Job Summary

Auditing inpatient cases for DRG validation, the full-time remote DRG Validation Auditor I will review medical records, provide rationale for findings, and utilize industry standards to ensure accurate documentation improvement.

Key responsibilities

• Review inpatient medical records for validation of DRG assignment
• Provide detailed rationale and supporting evidence for recommendations and findings
• Utilize industry-recognized references to support review findings

Required qualifications

• Current AHIMA credentials (RHIA, RHIT, and/or CCS)
• 3+ years of ICD-10 coding and DRG reimbursement experience, with recent acute inpatient auditing experience
• Experience with multiple EMR systems such as Epic, Cerner, and Meditech