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 opportunities 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 recommendations 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 are 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.
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