Registered Nurse Clinical Auditor
virtual vocationsDenver (CO)
Registered Nurse Clinical Auditor
Posted 2 days ago
virtual vocationsDenver (CO)
SENIORITY
Senior
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
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
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Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.