About this role
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) at Elevance Health. Location: Denver or Atlanta or Costa Mesa or Hanover or Walnut Creek or Chicago or Las Vegas or Mendota Heights or New York City or Seattle. Role: auditing claims, analyzing records, generating findings Requirements: Active unrestricted RN license, minimum 10 years claims auditing/quality/documentation experience and 5 years working with ICD-9/10, MS-DRG/AP-DRG/APR-DRG; strong clinical documentation and coding expertise. Category: Healthcare Services - Nursing Seniority: Senior Level Certifications: rn, rhit, rhia, ccds, cdip, cpc, ccs, cic Commitment: Full Time Workplace: Remote Languages: English