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 chart coding principles and clinical guidelines
• Utilize proprietary auditing systems to make determinations and generate audit letters
• Maintain productivity and accuracy standards set by the audit operations management team

Required Qualifications

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