pJoin a Team of Industry-Leading Experts and Help Shape the Future of Revenue Integritybr/Are you a passionate coding and revenue integrity professional who thrives on clinical accuracy, continuous learning, and making a meaningful impact? 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.br/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. If you’re looking for an opportunity to elevate your expertise while partnering with exceptional clients and colleagues, we’d love to hear from you.br/bSign on premio available /b /p h3What You’ll Do /h3 pThe 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. /p h3In this role, you will: /h3 ul liPerform detailed DRG validation reviews of inpatient charts. /li liEnsure assigned ICD-10-CM/PCS codes accurately reflect the patient's clinical condition and treatment. /li liValidate proper sequencing and accuracy of diagnoses and procedures. /li liReview and assess:br/ ul liPresent on Admission (POA) indicators /li liSeverity of Illness (SOI) /li liRisk of Mortality (ROM) /li liCase Mix Index (CMI) /li liHierarchical Condition Category (HCC) capture /li liOther coding and reimbursement factors /li /ul /li liUtilize current coding references and clinical criteria including:br/ ul liICD-10-CM/PCS /li liCMS Guidelines /li liMCG /li liInterQual /li liNational Coverage Determinations (NCDs) /li liLocal Coverage Determinations (LCDs)



/li liPayer clinical policy guidelines /li /ul /li liAdhere to coding guidelines and CDI best practices endorsed by AHIMA and ACDIS. /li liIdentify documentation gaps and formulate compliant physician queries when appropriate. /li liAnalyze records for coding opportunities, sequencing accuracy, and clinical support. /li liMaintain high-quality review standards while meeting productivity and quality expectations. /li liStay current with regulatory, coding, reimbursement, and clinical documentation updates.Support development of training content and educational resources. /li liMentor and provide shadowing opportunities for new team members. /li liAssist with project analysis, reporting, and client-facing feedback initiatives. /li liParticipate in internal and external audits of Clinical Documentation Integrity (CDI) programs. /li liProtect patient privacy and ensure proper handling of all PHI in accordance with company policies and regulatory requirements. /li liAttend required meetings, training sessions, and educational programs. /li liPerform other duties as assigned.br/ /li /ul h3Why CorroHealth? /h3 pAt CorroHealth, our people are our greatest asset. We foster a culture where healthcare professionals can grow, collaborate, and make a real impact. /p h3Work Experience: /h3 ul liFive or more years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). /li liCCS required, CCDS or CDIP a plusbr/ /li /ul h3Knowledge, Skills Abilities: /h3 ul liExperience with telecommuting and electronic medical record systems required /li liGood computer skills and familiarity with commonly used work apps, such as MS Word, MS Excel, MS Outlook, Teams, etc. /li liStrong analytical skills /li liWorks well with numbers, using basic math skills /li liStrong team player /li liAbility to work with multiple and diverse clients and projects /li liAbility to switch between multiple clients throughout the day and week /li liAbility to work with minimal supervision /li liAbility to maintain and access multiple files /li /ul #J-18808-Ljbffr

📌 DRG Revenue Integrity Auditor (Italia)
🏢 ACDIS Pediatric Networking Group
📍 Italia