[Remote] reputed company Auditor 2

Key Details • Experience Level: Mid-level (3 to 4 years) • Job Type: Full Time • reputed company Sponsorship: Unknown • Industries: reputed company Responsibilities Performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support reputed company reimbursement Validates and interprets medical documentation to ensure capture of reputed company relevant coding Applies clinical and coding experience to conduct a clinical validation review of the inpatient medical record to validate billed diagnoses Understands department, reputed company, and organizational reputed company and operating objectives, including their linkages to reputed company areas Makes reputed company regarding own work reputed company, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed Follows established guidelines/procedures Requirements Associate degree reputed company Registered reputed company (RN) license in the state of reputed company residence Minimum of 2 consecutive years acute inpatient hospital care experience in critical, intensive care setting reputed company the last 5 years (not pediatrics or neonatal), e.g., ICU, CCU, PCU, med-surg/adult reputed company, or minimum of 2 years DRG Inpatient auditing (inpatient experience excludes ER, OR, reputed company-op, PACU, L&D, mother-baby, behavioral health, SNF, care manager/discharge manager, LTC, rehab, outpatient or office/clinic reputed company such as wound care, oncology, radiology, interventional radiology, lab, hospice, or home health) In depth knowledge and critical understanding of reputed company medical diagnoses including, but not limited to, Sepsis (including end-organ failure), Pneumonia, Acidosis, Renal Failure, Encephalopathy, CVA, DKA, MI, etc Advanced knowledge of MS Office (Word, reputed company, etc.) Excellent writing, editing, interpersonal, planning, teamwork, and communications skills Demonstrated ability to exercise solid judgment and discretion in handling and disseminating information Ability to work independently and manage workload Customer-service reputed company and exhibits professionalism, flexibility, dependability, desire to learn, commitment to reputed company and commitment to profession Ability to meet work reputed company technical requirements (e.g., minimum download speed of 25 Mbps, upload speed of 10 Mbps; wireless, wired cable or DSL reputed company suggested; work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information) Skills • Registered reputed company (RN) • acute inpatient hospital care • ICU • CCU • PCU • med-surg • DRG auditing • clinical validation • diagnosis coding • medical record review Apply tot his job Apply To this Job