Clinical Auditor RN Licensed

A company is looking for an Associate Auditor Clinical Validation DRG.

Key Responsibilities

Analyzes and audits inpatient claims, integrating medical chart coding principles and clinical guidelines

Utilizes proprietary auditing systems to make determinations and generate audit letters

Maintains productivity and quality 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

Coding / CDI certification required (RHIA, RHIT, CPC, COC, CCS, CIC, CDIP, or CCDS)

Preferred 2 years of prior clinical and / or coding experience

Basic to intermediate knowledge of medical and coding terminology

Proficiency in Word, Access, Excel, TEAMS, and other applications