Florida Licensed Clinical Auditor

Job Summary

To support a growing healthcare team, the full-time Clinical DRG Auditor will perform DRG validation reviews of medical records to ensure accurate coding and compliance, working remotely with flexible hours.

Key responsibilities:

• Conduct audits of medical record documentation to verify accuracy of diagnosis and procedure codes, adhering to coding guidelines and regulations
• Achieve productivity and quality performance standards while assisting in training and mentoring new Coders or Clinical DRG Auditors
• Maintain up-to-date knowledge of coding guidelines and complete required continuing education to uphold RN licensure and coding certification

Required qualifications:

• Active, unrestricted RN licensure in the United States and state of primary residence
• At least one coding certification such as RHIA, RHIT, CCS, CIC, CCDS, or CPC is required
• Minimum of 3 years clinical experience in an inpatient hospital setting
• 2+ years of experience in MS DRG/APR DRG coding or auditing with expert knowledge of ICD-10 coding guidelines
• Demonstrated proficiency in computer skills and virtual meeting tools