Certified Auditor Project Lead

A company is looking for an Auditor Project Lead specializing in DRG validation. Key Responsibilities Manage DRG validation projects, ensuring client expectations and collaboration with teams Validate the accuracy of coding and claims for inpatient and outpatient services Identify and resolve complex coding discrepancies while maintaining confidentiality of health information Required Qualifications Extensive knowledge of healthcare coding, billing, auditing, and compliance for inpatient and outpatient services Minimum of 8 years of auditing experience with DRG and APR-DRG Strong background in pediatric inpatient facility experience Proficiency in coding software and familiarity with AI tools for coding accuracy Certification such as RHIA, RHIT, CCS, CPMA, CIC, or COC is required

Jun 20, 2025 - 23:00

A company is looking for an Auditor Project Lead specializing in DRG validation. Key Responsibilities Manage DRG validation projects, ensuring client expectations and collaboration with teams Validate the accuracy of coding and claims for inpatient and outpatient services Identify and resolve complex coding discrepancies while maintaining confidentiality of health information Required Qualifications Extensive knowledge of healthcare coding, billing, auditing, and compliance for inpatient and outpatient services Minimum of 8 years of auditing experience with DRG and APR-DRG Strong background in pediatric inpatient facility experience Proficiency in coding software and familiarity with AI tools for coding accuracy Certification such as RHIA, RHIT, CCS, CPMA, CIC, or COC is required