Salary: $100k+ base compensation plus $20k annual performance-based incentive bonus; 7 weeks/35 days of Total Paid Time Off (PTO)

Location: 100% Remote

Job Description:
– Review Clinical Validation provider appeals to verify the accuracy of the MS-DRG assignment and reimbursement
– Ability to support audit results with concise appeal responses
– Experience with DRG Encoder tools like 3M, WebStrat & Pricers
– Current with industry trends specific to DRG reimbursement, provider contracts, payer policies and audit regulations
– Work independently and drive towards excellence
– Strong analytical skills with attention to detail
– Excellent written and verbal communication skills

– 5+ years of Clinical Validation Audit experience
– Must hold an active RN (MD would also be accepted)
– RHIA, RHIT, CCS and/or CDIP highly desired
– Willingness to complete an Assessment
– Open to a background check if hired
– Passionate about Clinical Validation Auditing and a desire to work in an environment that thrives on teamwork, collaboration, inclusiveness and support

– 7 weeks/35 days of total days paid off (PTO, Floating Holidays, Company Holidays and Sick Days)
– $100k+ base compensation plus $20k annual performance-based incentive bonus
– Full benefits package offered including health, dental, vision, life insurance, disability plan and 401k
– These aren’t contract or temp to hire positions, H.I.M. Recruiters only represents what we feel are HIM Career opportunities and have been doing so for over 30 years!
– A permanent position working directly for a large corporation who is building a new DRG Validation team led by a seasoned HIM Executive
– 100% Remote
– No Relocation Required

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