06/27/2025
Position Summary: The DRG Audit Program Director is a strategic and operational leader responsible for the development, implementation, and oversight of all DRG clinical validation and audit initiatives. This role ensures the integrity of healthcare payments by identifying and recovering improper payments, optimizing DRG assignments, and driving process improvements to enhance coding accuracy, documentation completeness, and compliance. The Director leads a team of clinical and coding auditors and collaborates cross-functionally with various departments to achieve organizational goals.
Key Responsibilities:
Strategic Planning & Vision:
Develop and execute strategic plans for the DRG audit program, aligning with broader organizational objectives, industry trends, and regulatory changes (e.g., MS-DRG, APR-DRG, ICD-10-CM/PCS).
Identify emerging risks and opportunities related to DRG assignments and develop proactive strategies to address them....
CorVel
Fort Worth, TX, USA
Full Time