DRG Revenue Integrity Auditor

CorroHealth, Inc.

Job Overview

Location

US - Remote

Job Type

Full-time

Full Job Description

📋 Description

• The DRG Revenue Integrity Auditor performs Diagnostic Related Group (DRG) validation and quality audits on inpatient charts to ensure accurate coding and compliance with federal laws, capturing the patient’s true clinical picture.
• Day-to-day responsibilities include conducting chart reviews, validating ICD-10-CM/PCS codes, POA assignments, SOI, ROM, and HCC capture, analyzing records for query opportunities, ensuring proper code sequencing, and maintaining quality and productivity standards.
• The role involves supporting training initiatives, assisting with project data analysis and reporting, maintaining professional credentials through continuing education, and ensuring PHI confidentiality in adherence to ACDIS, AHIMA, and ethical coding standards.
• The auditor collaborates with internal teams and clients, communicates professionally, adapts to multiple clients and projects, and stays current with clinical criteria, MCG, InterQual, payer policies, CMS guidelines, NCDs, LCDs, and CDI best practices.
• This remote position requires a proactive, detail-oriented professional who can work independently, manage multiple files, and contribute to accurate training materials and client feedback while meeting production and quality metrics.

🎯 Requirements

• CCS certification required
• Five or more years of experience in an acute care setting or third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS)
• Experience with telecommuting and electronic medical record systems
• Strong analytical skills and proficiency with MS Word, Excel, Outlook, Teams, and similar work applications
• Ability to work with minimal supervision, manage multiple clients and projects, and maintain access to multiple files

🏖️ Benefits

• Quality of life with a remote, predictable, full-time schedule
• Exempt/salaried position with opportunities for career growth within the organization
• Medical, dental, vision coverage, 401K with match, long-term disability, life insurance, and more
• Holidays, ample paid time off, and allowance for CME and/or license renewal

Skills & Technologies

Remote

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CorroHealth, Inc.

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About CorroHealth, Inc.

CorroHealth provides technology-enabled revenue cycle management and clinical documentation improvement services to hospitals and health systems. The company combines analytics, robotic process automation, and specialized coding expertise to reduce denials, improve compliance, and accelerate cash collections for providers nationwide.

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