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AAPCAA

CDI-DRG Validation Auditor

AAPC is the world's largest training and credentialing organization for the business of healthcare, providing education, certification, and software solutions to professionals and organizations.

AAPC

Employee count: 1001-5000

United States only

This is a full-time remote CDI validation auditing position for an AI-driven auditing platform. The role involves reviewing hospital records, identifying coding and billing inaccuracies, and ensuring accurate coding practices. The ideal candidate should have expertise in inpatient and outpatient coding and auditing, with a focus on pediatric healthcare. Collaboration with clinical, engineering, and domain experts is essential for effective auditing.

Requirements

  • Extensive knowledge of healthcare and coding.
  • 5 years of CDI expertise in facility inpatient and outpatient services with DRG and APR-DRG as well as familiarity with clinical documentation improvement practices.
  • Extensive knowledge of current Official Coding Guidelines and Coding Clinic citations.
  • Strong background in cost reduction strategies.

Benefits

  • Comprehensive benefits package including medical, dental and vision insurance
  • Health Savings Account
  • Generous PTO and Holiday Pay
  • 401(k) retirement plan
  • Remote/virtual-office consideration

About the job

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Posted on

Job type

Full Time

Experience level

Mid-level

Location requirements

Hiring timezones

United States +/- 0 hours

About AAPC

Learn more about AAPC and their company culture.

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At AAPC, we are at the forefront of revolutionizing the business of healthcare through pioneering educational and credentialing solutions. Since our inception in 1988 as the American Academy of Professional Coders, our mission has been to elevate the standards of the healthcare revenue cycle. We began by providing critical education and certification for medical coders in physician-based settings, establishing a new benchmark for professionalism and accuracy in a paper-dominated industry. As the healthcare landscape has been reshaped by digital transformation and complex regulations, we have consistently innovated to meet the evolving demands. Our evolution from a focus solely on coding to embracing the entire spectrum of healthcare administration—including billing, auditing, compliance, and practice management—demonstrates our commitment to comprehensive, forward-thinking solutions.

Through groundbreaking technology and a dedication to continuous advancement, we empower our global network of over 275,000 members to navigate the complexities of modern healthcare with confidence and expertise. We have developed a sophisticated suite of tools and platforms, such as our AI-powered auditing software and the Codify platform, to streamline workflows, enhance accuracy, and optimize revenue cycle management for healthcare organizations worldwide. Our acquisition of Semantic Health underscores our investment in artificial intelligence to drive efficiency and precision in medical auditing. By offering a diverse range of certifications, from the foundational Certified Professional Coder (CPC®) to specialized credentials in risk adjustment and compliance, we are not just reacting to industry changes; we are proactively shaping the future of healthcare business operations, ensuring our members and partners are always equipped with the most advanced knowledge and cutting-edge tools to lead and succeed.

Employee benefits

Learn about the employee benefits and perks provided at AAPC.

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Dental Insurance

We also provide dental coverage at competitive rates.

Vision Insurance

We also provide vision coverage at competitive rates.

401(k) Retirement Plan

Eligible team members may receive a 401(k) retirement plan.

Life Insurance

We also provide life insurance coverage at competitive rates.

View AAPC's employee benefits
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AAPC

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AAPC hiring CDI-DRG Validation Auditor • Remote (Work from Home) | Himalayas