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2h ago Curated

Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)

Elevance Health

Job description

The Diagnosis Related Group Clinical Validation Auditor-RN is responsible for performing clinical validation audits on inpatient medical records to ensure accurate DRG assignment and documentation. This role involves reviewing clinical documentation, identifying discrepancies, and working with providers to improve documentation accuracy. The position is fully remote and requires an active RN license with at least 3 years of acute care experience. Preferred qualifications include CDI certification (CCDS or CDIP) and experience with MS-DRG, AP-DRG, and APR-DRG systems. Salary range: $70,000–$100,000.

Key responsibilities

  • Perform clinical validation audits on inpatient records
  • Review documentation for DRG accuracy
  • Collaborate with providers to improve documentation
  • Identify and report documentation discrepancies

What you bring

  • Active RN license
  • 3+ years acute care experience
  • Knowledge of MS-DRG, AP-DRG, APR-DRG
  • CDI certification preferred

Tags

100% RemoteCDIDRG AuditorRN

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