Registered Nurse Clinical Auditor

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