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Clinical Validation Auditor III
remoterocketship
- Remote, Oregon, United States
- Remote, Oregon, United States
About
Review inpatient medical records to verify that the DRG (Diagnosis-Related Group) code makes sense based on the documentation. Apply clinical and coding knowledge to spot inaccuracies and identify potential overpayments. Document your findings in clear, professional language that explains the rationale behind your review. Use industry tools like 3M or Webstrat (don’t worry—we’ll train you if needed!) to support your decisions. Work independently while meeting productivity and quality goals. Stay up to date with clinical guidelines, DRG rules, and industry trends. Requirements:
Registered Nurse (RN) with an active license. 5+ years of acute care experience (hospital setting preferred) Experience in DRG audits or coding validation is a big plus! Bonus points if you have certifications like CCS, RHIA, or RHIT Knowledge of readmission reviews (PPR) is also a plus Benefits:
Remote work Culture of support Opportunity to grow in healthcare analytics
Languages
- English
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