Job Summary
A healthcare company has a current position open for a Remote Clinical Validation Short Stay and Readmission Auditor.
Candidates will be responsible for the following:
- Utilizing clinical and coding principles and client specific guidelines
- Utilizing with advanced proficiency, clinical, encoder and audit tools required to perform duties
- Achieving the expected level of quality set by the audit for the auditing concept
Qualifications for this position include:
- RN License
- Associates or Bachelor's degree in Nursing
- Clinical experience
- High level of proficiency in Milliman and Interqual guidelines
- Ability to utilize and analyze clinical auditing knowledge and skills to learn
- Requires working knowledge of and applicable industry based standards
