Licensed Clinical Auditor

A company is looking for an Associate Auditor Clinical Validation DRG. Key Responsibilities Analyze and audit inpatient claims, integrating medical coding principles and clinical guidelines Utilize proprietary auditing systems to make determinations and generate audit letters Meet productivity and accuracy standards set by audit operations management Required Qualifications Associate or bachelor's degree in nursing or Health Information Management (RHIA/RHIT), or active LPN license Coding/CDI certification (RHIA, RHIT, CPC, COC, CCS, CIC, CDIP, or CCDS) required 2 years of prior clinical and/or coding experience preferred Basic to intermediate knowledge of medical and coding terminology Proficiency in Word, Access, Excel, TEAMS, and other applications

Jun 21, 2025 - 11:30

A company is looking for an Associate Auditor Clinical Validation DRG. Key Responsibilities Analyze and audit inpatient claims, integrating medical coding principles and clinical guidelines Utilize proprietary auditing systems to make determinations and generate audit letters Meet productivity and accuracy standards set by audit operations management Required Qualifications Associate or bachelor's degree in nursing or Health Information Management (RHIA/RHIT), or active LPN license Coding/CDI certification (RHIA, RHIT, CPC, COC, CCS, CIC, CDIP, or CCDS) required 2 years of prior clinical and/or coding experience preferred Basic to intermediate knowledge of medical and coding terminology Proficiency in Word, Access, Excel, TEAMS, and other applications