Clinical Review Auditor I

CERIS
Fort Worth, TX
Category Consulting
Remote
Job Description
The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will determine correct DRG/coding as defined by review methodologies specific to the type of review.

Requirements

  • Perform DRG validation (clinical/coding) reviews of medical records and/or other documentation
  • Determine correct DRG/coding as defined by review methodologies specific to the type of review
  • Conduct audits to ensure accurate reimbursement and identifying potential savings

Benefits

  • Medical (HDHP) w/Pharmacy
  • Dental
  • Vision
  • Long Term Disability
  • Health Savings Account
  • Flexible Spending Account Options
  • Life Insurance
  • Accident Insurance
  • Critical Illness Insurance
  • Pre-paid Legal Insurance
  • Parking and Transit FSA accounts
  • 401K
  • ROTH 401K
  • Paid time off
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