DRG Validation Auditor – w/ sign on bonus

Cloudmed an R1 Company

Introduction:

We are hiring!! Our team is experiencing exciting growth and opportunity and we’re looking for experienced Inpatient Auditors to join our DRG-V team! Candidates must have an inpatient auditing background and need to be AHIMA credentialed with at least one of the following: CCS, RHIA or RHIT. Come join us (or send a friend) and see for yourself what an incredible and exciting company Cloudmed can be! #inpatient #auditing #ahima #cloudmed #remoteopportunity #remote #flexibleworkinghours

Cloudmed is a healthcare technology company focused on Revenue Intelligence™ and data-driven insights. Our market-leading platform utilizes intelligent automation and human expertise to help providers enhance productivity and increase revenue. Cloudmed partners with over 3,100 healthcare providers in the United States and recovers over $1.5 billion of underpaid or unidentified revenue for its clients annually. Cloudmed was awarded 2021 Best In KLAS: Revenue Integrity/Underpayment Services and Robotic Process Automation (Databound). Its solution suites have HFMA Peer Review status and are HITRUST certified.

Job Description:

As DRG Validation Auditor, your primary role will be production auditing inpatient cases using our proprietary application for the purpose of validating the assigned DRG and/or documentation improvement opportunities. Our software, coupled with our robust rules engine, allows the strategic identification of missed revenue opportunity for our clients all while using a completely user-friendly interface experience. Responsibilities include:

  • Audit inpatient cases for DRG validation and/or documentation improvement
  • Review inpatient medical records for validation of DRG assignment
  • Provide detailed rationale and supporting evidence for recommendation and findings
  • Utilize industry-recognized references to support their review findings, such as the ICD-10 Official
    Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA Practice Briefs related to compliant querying, and AHA Coding Clinics

Required Qualifications:

  • Current AHIMA credentials such as RHIA, RHIT, and/or CCS required with additional Clinical Documentation Improvement (CDI) credentials such as, CDIP and/or CCDS preferred
  • 3+ years of ICD-10 coding and DRG reimbursement experience, with recent acute inpatient coding experience

Preferred Qualifications:

  • Secondary chart review experience is highly desired
  • Strong verbal and written communication skills
  • Experience with multiple EMR Systems such as Epic, Cerner, and Meditech

Compensation/Benefits:

Cloudmed provides an extremely competitive benefits package that includes a 401(k) match, medical/dental/vision insurance and more.

Cloudmed is an Equal Opportunity Employer

Instructions for Resume Submission:

Resume submission and application can be completed using the online link below.

Apply Online: https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=73d6b3a3-a2d0-4614-b84c-9b99aee2287e&ccId=19000101_000001&jobId=448082&lang=en_US&source=EN