Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)
Elevance Health(19 days ago)
RemoteFull TimeSenior$81,852 - $155,088Healthcare Quality Assurance
Apply NowAbout this role
The Diagnosis Related Group Clinical Validation Auditor-RN is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. The role involves review of DRG paid claims, analyzing claims for coding accuracy, and improving documentation quality.
Required Skills
- ICD-10
- Clinical Guidelines
- Medical Coding
- Claims Auditing
- Documentation Improvement
- Hospital Inpatient
- MS-DRG
- APR-DRG
- Clinical Review
- Audit Tools
About Elevance Health
elevancehealth.comElevance Health, formerly Anthem, Inc., serves people across their entire health journey taking an integrated whole-health approach.
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