03/16/2026
The Diagnostic Related Groups (DRG) Clinical Supervisor is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding that is clinically supported as defined by review methodologies specific to the contract for which review services are being provided. This involves completing medical review forms, accurately documenting findings and non-findings and providing clinical/policy/regulatory support for the determination.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Supervises all daily activities of the DRG Clinical Auditors
Demonstrated knowledge of, ICD-10-CM and PCS codes, and DRG coding, understanding of payer rules and regulations, including Medicare and Medicaid with the ability to work independently with minimal supervision and demonstrate initiative
Completes DRG audits as needed
Responsible for the overall integrity of the quality of diagnosis and...
CorVel
Fort Worth, TX, USA
Full Time
