Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
DRG Revenue Integrity Auditor (DRG-A)
Remote | Full-Time
Join a Team of Industry-Leading Experts and Help Shape the Future of Revenue Integrity
At CorroHealth, you'll work alongside some of the nation's most respected physicians, clinical leaders, coding experts, and healthcare innovators to ensure the highest standards of coding accuracy and revenue integrity for leading healthcare organizations.
As a global healthcare solutions company, we invest in our people through continued education, career advancement opportunities, mentorship from industry experts, and a flexible work environment that supports work-life balance. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
The
DRG Revenue Integrity Auditor (DRG-A) performs comprehensive Diagnostic Related Group (DRG) validation and quality audits on inpatient medical records to ensure accurate representation of each patient's clinical story.
Ensure assigned ICD-10-CM/PCS codes accurately reflect the patient's clinical condition and treatment.
Risk of Mortality (ROM)
Other coding and reimbursement factors
Utilize current coding references and clinical criteria including:
ICD-10-CM/PCS
CMS Guidelines
Local Coverage Determinations (LCDs)
Payer clinical policy guidelines
Adhere to coding guidelines and CDI best practices endorsed by AHIMA and ACDIS.
Analyze records for coding opportunities, sequencing accuracy, and clinical support.
Maintain high-quality review standards while meeting productivity and quality expectations.
Stay current with regulatory, coding, reimbursement, and clinical documentation updates.
Support development of training content and educational resources.
Assist with project analysis, reporting, and client-facing feedback initiatives.
Participate in internal and external audits of Clinical Documentation Integrity (CDI) programs.
Protect patient privacy and ensure proper handling of all PHI in accordance with company policies and regulatory requirements.
Attend required meetings, training sessions, and educational programs.
At CorroHealth, our people are our greatest asset. Note:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs.
