Job Summary

A healthcare technology company is in need of a Remote DRG Chart Auditor in Chicago.

Individual must be able to fulfill the following responsibilities:

• Audit documentation to support coding & billing regulations to ensure reimbursement accuracy
• Perform comprehensive analytical review of clinical guidelines in observance of organizational quality standards
• Provide detailed and easily understandable rationale and supporting evidence for recommendation and findings

Must meet the following requirements for consideration:

• Experience independently structuring and executing complex analyses
• Demonstrated understanding of the APR-DRG, MS-DRG, ICD-10, clinical criteria, and clinical review judgement
• High standards of quality & attention to detail, deep patterns of curiosity & mastery to understand root cause of events & behaviors
• Demonstrated ability to apply critical review judgment to make clinical and/or coding determinations