RN CLINICAL DOCUMENT SPECIALIST AUDITOR, FCH - ENTERPRISE QUALITY CDI/UR/DM
Discover. Achieve. Succeed. #BeHere
Location: US:WI:MILWAUKEE at our FROEDTERT HOSPITAL facility.
This job is REMOTE.
FTE: 1.000000
Standard Hours: 40.00
Shift: Shift 1
Shift Details: No holidays or weekends
Job Summary:
The RN Diagnosis-Related Group (DRG) Auditor conducts targeted and random audits of finalized inpatient medical records to assess the accuracy of DRG assignments. The auditor ensures compliance with documentation standards, accurate reflection of patient acuity, and maximized reimbursement aligned with federal and payer regulations.
EXPERIENCE DESCRIPTION:
A minimum of 5 years of experience in Clinical Documentation Integrity and/or inpatient coding/auditing.
EDUCATION DESCRIPTION:Bachelor’s degree in nursing or foreign trained medical graduate is required. In lieu of BSN, an Associate degree in nursing and a Bachelor’s in a relevant field may be substituted. Master’s degree is preferred.
SPECIAL SKILLS DESCRIPTION:Proficiency with MS-DRGs, APR-DRGs, and official coding guidelines. Experience with audit tools, EHR systems, and data analytics platforms.
LICENSURE DESCRIPTION:
Current state of WI Registered Nurse license or current license from a participating state in the Nurse Licensure Compact. Advanced certification related to CDI (CCDS, CDIP, or CCS) is required.
Compensation, Benefits & Perks at Froedtert Health
Pay is expected to be between: (expressed as hourly) $38.92- $60.33. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.
Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following:
- Paid time off
- Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
- Academic Partnership with the Medical College of Wisconsin
- Referral bonuses
- Retirement plan - 403b
- Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
- Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available
The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.
We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.
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