Licensed Clinical Auditor

Job Summary

A company is looking for an Associate Auditor Clinical Validation DRG.

Key Responsibilities

• Analyze and audit inpatient claims, integrating medical coding principles and clinical guidelines
• Utilize proprietary auditing systems to make determinations and generate audit letters
• Meet productivity and accuracy standards set by audit operations management

Required Qualifications

• Associate or bachelor's degree in nursing or Health Information Management (RHIA/RHIT), or active LPN license
• Coding/CDI certification (RHIA, RHIT, CPC, COC, CCS, CIC, CDIP, or CCDS) required
• 2 years of prior clinical and/or coding experience preferred
• Basic to intermediate knowledge of medical and coding terminology
• Proficiency in Word, Access, Excel, TEAMS, and other applications