Associate Auditor (Analyst)
Core
Validate coding updates affecting diagnosis-related groups (DRG) on claims to ensure reimbursement accuracy and coding compliance for healthcare clients.
Role type
Associate Auditor (Analyst)
Builds
Coding compliance and evidence-based recommendations for hospital and health system clients
Domain
Healthcare revenue cycle management / Medical coding
Required skills
ICD-10 coding, DRG reimbursement, acute inpatient coding, electronic medical record systems (Epic, Cerner, Meditech), industry coding references
Preferred skills
None stated
Technologies
Epic, Cerner, Meditech, Microsoft Office
Responsibilities
Validate coding updates impacting DRG on claims, provide detailed rationale and supporting evidence for recommendations, audit specific rule sets and pre-screen opportunities for the DRG Validation Auditing Team
Seniority
Mid-level, hands-on IC
