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Clinical Auditor
This is an exciting opportunity to work for a leader of resources for payors solutions & bill review with a preferred client. General essential functions include performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine the 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 records review, accurately documenting findings and non-findings, and providing clinical/policy/regulatory support for the determination.
Requirements:
Benefits:
Who We Are
Headquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals from staff to leadership with both clinical and non-clinical employers. Our Comprehensive and Customer Focused Workforce Solutions include, Direct Placement, and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationally. Pivotal Placement Services is an Equal Opportunity Employer
Full Time