Associate Auditor (Analyst)

Overview

Validate coding updates that can affect the diagnosis-related group on a claim, and pre-screen cases for the DRG Validation Auditing Team, documenting evidence-based recommendations.

What you'll do

• Validate coding updates that will impact the diagnosis-related group on a claim and result in either additional reimbursement or coding compliance and education for the client.
• Provide detailed rationale and supporting evidence for recommendations.
• Utilize industry-recognized references to support findings.
• Audit a specific rule set and pre-screen opportunities for the DRG Validation Auditing Team.

What you'll need

• High school diploma or equivalent experience.
• Four or more years of ICD-10 coding and DRG reimbursement experience, including recent acute inpatient coding experience.
• Current AHIMA credential, such as RHIA, RHIT, and/or CCS.
• Experience with multiple electronic medical record systems, such as Epic, Cerner, and Meditech.
• Strong verbal and written communication skills.
• Proficiency with Microsoft Office and collaboration tools, including Word, Excel, Outlook, and Teams.
• Ability to prioritize and manage competing responsibilities effectively.
• Results-driven approach with a focus on achieving goals and delivering outcomes.
• Forward-thinking team player with a collaborative mindset.
• Passing score of 80% on the Auditor I assessment.

Details

• Remote, USA.
• Base pay range is $20.87 - $32.20 per hour.
• Physical demands: writing, driving, reading, pushing/pulling, walking, extended computer usage, sitting, carrying, bending, lifting (5–10 lbs), standing, traveling (minimal or as required).