Remote Clinical Validation Short Stay and Readmission Auditor

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Wed, Jan 27, 2021

This job expires in: 0 days

Job Category: Quality Assurance

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced, Management

Education Level: Some College, Bachelors

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

COMPLETE JOB DESCRIPTION

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