Auditor Technical Trainer – DRG

This is a fully remote position, open to applicants in United States.

📋 Description

• Evaluate job-specific requirements and create technical training programs with defined business objectives.

• Conduct targeted training sessions employing appropriate delivery methods such as in-person, online, and webinars.

• Offer assistance to the CCV audit team members; help orient new members as necessary and provide mentorship post-orientation.

• Enhance audit accuracy by training, educating, and mentoring auditors, while delivering documented and validated findings.

• Provide training on various audit types, including Outpatient and Specialty Review Types such as SNF, IRF, and HH.

• Evaluate and monitor the performance of oneself, colleagues, and/or organizations to suggest improvements or recommend corrective actions.

⛳️ Requirements

• An Associate's Degree or equivalent relevant experience is required.

• A minimum of 5 to 7+ years of experience with comprehensive knowledge of medical claims, billing/payment systems, provider billing guidelines, payer reimbursement policies, medical necessity criteria, and coding terminology.

• Clinical or nursing experience in SNF, IRF, and HH settings is mandatory.

• Coding certification is required and must be maintained as a condition of employment (CCS, CPC, etc.).

• Compliance with official coding guidelines, coding clinic determinations, as well as CMS and other regulatory compliance guidelines and mandates is required.

• Expert knowledge of coding, particularly CPT and HCPCS codes, is essential.

• Strong skills in presentation and communication.

• Ability to think independently, logically, and strategically, with a keen focus on details.

• High level of proficiency with all relevant audit technologies, such as R3 and CAT.

• Proficient in Microsoft Word, Access, Excel, PowerPoint, and other applications.

• Candidates should possess experience in home health, IRF, and SNF settings.

🏝️ Benefits

• Medical insurance

• Dental insurance

• Vision insurance

• Disability insurance

• Life insurance coverage

• 401(k) savings plans

• Paid family leave

• 9 paid holidays per year

• 17-27 days of Paid Time Off (PTO) per year, based on years of service