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Revenue Integrity DRG Auditor

7/19/2025

Remote

Job Summary

A company is looking for a DRG Auditor.

Key Responsibilities
  • Achieve and maintain assigned client financial performance goals
  • Validate code and DRG assignment and supporting clinical documentation
  • Assist in prediction enhancements to increase verification rates
Required Qualifications, Training, and Education
  • 3+ years of inpatient auditing/coding experience with ICD and CPT/HCPCS
  • In-depth knowledge of hospital inpatient record types and payer reimbursement methodology
  • Experience in MS-DRG validation, APR-DRG validation, and clinical validation
  • Proficient with Microsoft Office products and computerized programs
  • Relevant coding/clinical certifications such as CCS, CPC, RHIT, RHIA, CDIP, or CCDS preferred

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