DRG Clinical (RN) Validation Auditor auditing inpatient medical records to ensure accuracy in billing and reimbursement. Specializing in Diagnosis Related Group (DRG) paid claims with a focus on clinical documentation integrity.
About the role
- Premium Auditor examining financial records to ensure compliance with laws and regulations with ARMStrong's insurance audit expertise since 1945. Hybrid role with travel required in assigned territory.
Responsibilities
- Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder’s records, and applying manual rules and company standards
- Prepare for the audit by identifying the necessary information and type of records needed
- Prepare schedule to maximize optimal use of time
- Correspond with insured via phone, email and mail to setup audit appointments
- Examine the policyholder’s records, gather data to determine correct classifications for business activities and write an effective description of operations
- Prepare complete audit document, explain results to insured and communicate the results to the home office
- Travel to multiple audit locations
Requirements
- Associate’s Degree or equivalent plus two years’ performing premium audits or equivalent combination of education and experience highly desired
- Ability to read, analyze and interpret financial documents
- General PC knowledge including Microsoft Excel and Word
- Knowledge of Visual Audit is a plus
- Ability to communicate well with customers and staff
- Valid driver’s license and satisfactory driving record
- Maintain automobile insurance while employed with bodily injury limits equal to or greater than $100,000 per person and $300,000 per accident or $300,000 combined
Benefits
- Benefit package with health, dental, vision, life and disability coverage options
- 401(k) retirement plan option with company matching
- Generous paid time off policy and 7 paid holidays
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