CDI-DRG Validation Auditor

This is a remote contract position.

We are seeking an experienced DRG Validation Auditor with strong CDI expertise to perform documentation and coding reviews that will support the development of our AI-driven auditing platform.

The Auditor will collaborate with clinicians, engineers, product managers, and domain experts to validate data quality and ensure accurate coding practices.

This role offers the opportunity to influence the next generation of auditing software while working in a dynamic environment with a high-performing, cross-functional team.

The ideal candidate for this position needs to have both an inpatient and outpatient coding / auditing background focused on the following disciplines from a coding and billing perspective :

• Inpatient MS-DRG / APR-DRG, and Outpatient CPT-4 / HCPCS coding and auditing, with a strong focus on pediatric healthcare services and coding accuracy and payer claim processing.

Job Duties :

Minimum Requirements :

Certification Requirements :