CVA Auditor III
Company: VirtualVocations
Location: San Diego
Posted on: January 28, 2025
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Job Description:
A company is looking for a Clinical Validation Auditor III.
Key Responsibilities
Conduct MS-DRG and/or APR-DRG clinical reviews to verify accuracy
of DRG assignments
Document audit results clearly using clinical guidelines and coding
rules
Utilize proprietary workflow systems and encoder tools for audit
determinations
Required Qualifications
Registered Nurse with an Associate's or Bachelor's degree
5+ years of acute care nursing experience, preferably with clinical
or coding validation audit experience
Experience in DRG retrospective overpayment identification auditing
is preferred
Prior readmission (PPR) auditing experience is a plus
CCS, RHIA, or RHIT coding credentials are preferred
Keywords: VirtualVocations, El Centro , CVA Auditor III, Accounting, Auditing , San Diego, California
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