Join CorroHealth as a DRG Revenue Integrity Auditor and perform comprehensive inpatient DRG validation and quality audits to ensure accurate coding, compliant reimbursement, and strong clinical documentation integrity.
You will review inpatient medical records, validate ICD-10-CM/PCS coding accuracy, assess documentation support, and help identify opportunities to improve coding quality and revenue integrity. This remote, full-time role also supports training, reporting, client feedback, and audit-related initiatives.
This role requires strong knowledge of inpatient coding and revenue integrity concepts, including:
- ICD-10-CM/PCS coding
- CMS guidelines
- MCG and InterQual criteria
- NCDs and LCDs
- Payer clinical policy guidelines
- AHIMA and ACDIS CDI best practices
You should be able to:
- Perform detailed DRG validation reviews on inpatient charts
- Validate diagnosis and procedure sequencing accuracy
- Review POA, SOI, ROM, CMI, and HCC-related factors
- Identify documentation gaps and create compliant physician queries
- Analyze records for coding opportunities and clinical support
- Maintain productivity and quality standards
- Stay current on regulatory, coding, reimbursement, and documentation changes
- Mentor team members and support training content development
- Assist with reporting, project analysis, and audit activities
CorroHealth emphasizes professional growth and flexibility, including:
- Remote work environment
- Full-time employment
- Ongoing education and training
- Career advancement opportunities
- Mentorship from industry experts
- Work-life balance support
Location
Texas, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
3 weeks ago