Supervisor, DRG Revenue Integrity jobs in United States
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CorroHealth · 14 hours ago

Supervisor, DRG Revenue Integrity

CorroHealth is committed to helping clients achieve their financial health goals through scalable solutions and clinical expertise. The Supervisor, DRG Revenue Integrity is responsible for overseeing coding audits, ensuring compliance with various coding guidelines, and supervising a team of auditors to meet quality and productivity standards.

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H1B Sponsor Likelynote

Responsibilities

Coordinate scheduling of team and client deliverables with leadership
Assign new clients to auditors, send weekly assignments, and ensure access to client information
Provide auditors with timely updates/changes to coding guidelines and department processes
Serve as a Subject Matter Expert (SME) for auditors across assigned audits
Conduct training for new and existing auditors to maintain team competency
Provide insight to auditor performance; productivity, quality and opportunity find rates
Conduct QA of at least 25% of departmental work products, ensuring a minimum 95% accuracy threshold
Promote teamwork, knowledge sharing, and respectful communication across the team
Meet productivity standards set by record type for each audit
Maintain billable productive hours at or above 80% when client work is available
Monitor and report time, work products, and schedules in an accurate and timely manner
Recommend process improvements to streamline workflows and enhance efficiency
Participate in development and delivery of coding education for clients
Stay current on coding, reimbursement, and compliance issues through continuing education
Maintain active professional credentials as required
Perform complex concurrent and/or retrospective analysis of medical record documentation to validate coded data
Ensure compliance with legal and procedural policies, official coding guidelines, and AHIMA Standards of Ethical Coding
Conduct independent QA on assigned Reviews/Audits results with a minimum accuracy expectation of 95%
Protect the privacy and confidentiality of patient and client health information at all times
Analyze Reviews/Audits findings and identify root causes of coding errors
Prepare detailed summary reports of findings, citing official references
Ensure deliverables are accurate, timely, and aligned with client expectations
Act as client liaison/expert in organizational policies, maintaining an audit playbook for each assigned client
Provide back-up leadership support for client interactions when needed
Lead or participate in special projects requiring coding and auditing expertise across the organization
Support leadership in implementing new initiatives and process improvements

Qualification

RHIARHITCCSCPCDRG auditingICD-10-CM/PCSCPTMS-DRGAPR-DRGAnalytical skillsReport-writing skillsCommunication skillsProject management

Required

RHIA, RHIT, CCS, or CPC credential required
Minimum 5 years' experience in DRG auditing, coding, or HIM consulting
Strong knowledge of ICD-10-CM/PCS, CPT, MS-DRG, APR-DRG, and reimbursement methodologies
Excellent analytical, communication, and report-writing skills
Ability to manage multiple projects and priorities in a fast-paced consulting environment

Preferred

Previous supervisory or lead auditor experience preferred

Company

CorroHealth

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CorroHealth is a provider of revenue cycle management solutions for healthcare organizations, including health systems, and health plans.

H1B Sponsorship

CorroHealth has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (1)
2022 (1)

Funding

Current Stage
Late Stage
Total Funding
$376.27M
Key Investors
Patient Square Capital
2024-10-24Private Equity
2023-10-05Private Equity· $50M
2022-05-17Series Unknown· $16.6M

Leadership Team

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Patrick Leonard
Chief Executive Officer
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Becky Blake
Chief People Officer
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Company data provided by crunchbase