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About the role

To ensure the accuracy of inpatient DRG coding, the remote Quality Analyst IV - Clinical Validation Auditor will oversee the work of Clinical CVA auditors, conduct quality reviews of clinical audits, and mentor auditing staff.
Key responsibilities: Apply clinical judgment for DRG audits to ensure accuracy of inpatient DRG coding Review the accuracy and consistency of clinical DRG auditing to ensure proper marking of findings Mentor Clinical DRG auditors and recommend process improvements for quality and performance
Required qualifications: Current Registered Nurse license 5+ years of experience with clinical validation audits Thorough understanding of medical terminology and human physiology Strong technical knowledge and ability to learn new systems quickly Excellent decision-making skills and sound judgment

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JOB OVERVIEW

Experience level

Senior

Location

Denver, CO

Occupation

Registered Nurses

Industry

Other Scientific and Technical Consulting Services

Posted

today

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