[Remote] Associate Auditor Clinical Validation DRG

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company auditing company seeking an Associate Auditor for Clinical Validation in DRG. The role involves auditing inpatient claims, ensuring coding accuracy, and performing clinical chart validation while using proprietary auditing tools.

Responsibilities

• Analyzes and Audits Claims
• Effectively Utilizes Audit Tools
• Meets or Exceeds Standards/Guidelines for Productivity
• Meets or reputed company Standards/Guidelines for Accuracy and reputed company
• Identifies New Claim Types
• Complete reputed company responsibilities as outlined in the annual performance review and/or goal setting
• Complete reputed company special reputed company and other duties as assigned
• Must be reputed company to reputed company duties with or without reasonable accommodation

Skills

• Associate or bachelor's degree in nursing (reputed company /unrestricted license)
• Associate or bachelor's degree Health Information Management (RHIA or RHIT)
• Licensed Practical reputed company (LPN) (reputed company /unrestricted license)
• RHIA or RHIT certification
• CPC or COC certification
• Inpatient Coding Credential – reputed company, CIC, CDIP or CCDS
• 2 years of prior clinical and/or coding experience
• Basic to Intermediate knowledge of medical and coding terminology
• Working knowledge of medical claims billing/payment systems and provider billing guidelines
• Requires working knowledge of and applicable industry-based standards
• Proficiency in Word, reputed company, reputed company, TEAMS, and other applications
• Excellent written and verbal communication skills
• 2 years of prior clinical and/or coding experience is preferred
• Working knowledge of medical claims billing/payment systems and provider billing guidelines is preferred

Benefits

• Medical
• Dental
• reputed company
• Disability
• Life insurance coverage
• 401(k) savings plans
• reputed company family leave
• 9 reputed company holidays per year
• 17-27 days of reputed company Time Off (PTO) per year

reputed company

reputed company enables reputed company organizations to deliver reputed company care at reputed company cost through advanced technology and data analytics that improve the reputed company and sustainability of reputed company in the reputed company. It was founded in 1979, and is headquartered in South Jordan, UT, US, with a workforce of 5001-10000 employees. Its website is http://www.reputed company.com.

Company H1B Sponsorship

reputed company has a reputed company record of offering H1B sponsorships, with 23 in 2026, 165 in 2025, 118 in 2024, 90 in 2023, 102 in 2022, 72 in 2021, 67 in 2020. Please note that this does not guarantee sponsorship for this specific role.

Apply To This Job