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Cotiviti

DRG Validation Auditor - Off Hours Work (2nd, 3rd, or weekend shift work)

Work from home

Remote role where the employee must remain based in a particular country.

United States only

Employer listed it 4 days ago · Added 4 days ago

First listed 4 days ago and still open.

Salary

$46

Location

United States only

Timezone

US East

Contract

Full-time

Experience

Mid

Category

Other

Published by the employer

Remote flexibility

Work from home

This is a remote role, but the employee must be based in United States. It is work from home rather than work from anywhere.

What the employer says

  • Source listing states candidate location: "United States"

What Nomaders makes of it

  • Residency required in United States
  • Payroll and tax are likely handled in that country only

The quotes above are the employer's own words; the reading is ours. Always check the original listing and employment terms before working from another country.

About the role

Overview

This DRG Validation Auditor role is focused on our Cross Claim Clinical Reviews (CCCR). Auditors in this role will be doing DRG Validation for our prepay and retrospective audits and making determinations without a medical record. The ideal candidate for this position needs to have both a strong inpatient HIM/coding background and an understanding of clinical validation. This position is responsible for auditing inpatient claims and documenting the results of those audits, with a focus on clinical review, coding accuracy, and the appropriateness of treatment setting, services delivered and patient history.

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Requirements, benefits, how to apply and the employer's own careers page, plus every other live role we track. £9.99/month, or £19.99 for your first 3 months.

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