All jobs → Partner boards

Diagnostic Related Group (DRG) Validation Auditor

Second Wave Delivery Systems • Las Vegas, NV, US • published 2026-09-25 21:51:46.154876

Description

As a key member of Secondwave’s Inpatient documentation review team, the Diagnostic Related Group (DRG) DRG Validation Auditor partners with a Medical Director (Physician) in tandem to ensure accurate and compliant DRG assignment through secondary review of inpatient medical records. This role involves validating diagnosis and procedure codes and updating coding as needed in alignment with federal regulations, official coding guidelines, and client\-specific standards which result in appropriate reimbursement and data integrity. The position requires strong analytical skills, deep knowledge of DRG methodologies, and a commitment to supporting appropriate reimbursement and data integrity. **Primary Responsibilities** * Conduct detailed pre\-bill reviews in collaboration with physicians to confirm accurate diagnosis and procedure coding for inpatient encounters * Utilize proprietary technology and client systems to track coding changes, identify query opportunities, and capture audit data * Investigate and resolve coding compliance issues, inappropriate coding, and client denials * Maintain high accuracy and productivity standards while meeting organizational coding recommendations *...

Get jobs like this daily in Telegram: @careeri_bot