Clinical Auditor

This is an exciting opportunity to work for a leader of resources for payors solutions & bill review with a preferred client. Many candidates we place enjoy the thinkability and solution oriented creativity they can bring to their work in this role. This is not like working in a hospital and having items pushed back, you get a chance to let your creative juices flow!!

This position is remote! Live anywhere in the United States!

Type of Work:

· Performing DRG validation (clinical/coding) reviews of medical records

· Determine correct DRG/coding that is clinically supported as defined by review methodologies specific to the contract for which review services are being provided.

· completing medical records review, accurately documenting findings and non-findings and providing clinical/policy/regulatory support for the determination

Requirements:

CCS or RHIT required

National Coding Certification required through either AHIMA (preferred) or AAPC.

Appeals and Charge Capture experience required

RN License Required

Nurse audit, provider revenue integrity, or payor audit experience preferred

Benefits

· Health / Dental / Vision

· Retirement options with employer match contribution

· PTO and Paid Holidays

· Clinical Ladder Advancement

What do people say about working with us?

· “I am finished with my orientation and my production levels are high, so I think they are pleased with my work. Really enjoying it here and the entire team is great! So thankful for my recruiter finding me this position and helping me through the interview process.”- Clinical Auditor

Who We Are

Headquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals from staff to leadership with both clinical and non-clinical employers.

Pivotal Placement Services is an Equal Opportunity Employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.