Manager, Inpatient Audit

The Inpatient Audit Manager leads a team of DRG validation auditors, utilizing advanced data analytics and proprietary algorithms to perform pre-payment and post-payment DRG and clinical validation reviews. This role identifies payment integrity issues, billing discrepancies, and revenue recovery opportunities while ensuring accurate inpatient claims reimbursement and clinical documentation. The position requires strong clinical and coding expertise, cross-functional collaboration, and the ability to drive operational excellence and continuous development within the team.