Clinical Review Supervisor

5 days ago


Fort Worth, Texas, United States CorVel Healthcare Corporation Full time
Job Description

**Job Summary:**

We are seeking a highly skilled Clinical Review Supervisor to join our team at CorVel Healthcare Corporation. As a Clinical Review Supervisor, you will be responsible for overseeing the daily activities of our DRG Clinical Auditors and ensuring the accuracy and integrity of diagnosis and procedure codes.

Key Responsibilities:

  • Supervise and Manage DRG Clinical Auditors: Provide guidance and support to our team of DRG Clinical Auditors to ensure they meet their daily quotas and maintain high accuracy rates.
  • Clinical Coding Expertise: Possess in-depth knowledge of ICD-10-CM and PCS codes, as well as DRG coding and payer rules and regulations, including Medicare and Medicaid.
  • DRG Auditing and Quality Control: Conduct regular audits to ensure the accuracy and integrity of diagnosis and procedure codes, and identify areas for improvement.
  • Communication and Teamwork: Develop and maintain strong relationships with internal and external stakeholders, including healthcare providers and payers.
  • Problem-Solving and Critical Thinking: Utilize strong problem-solving and critical thinking skills to resolve complex coding and auditing issues.

Requirements:

  • Education and Experience: Bachelor's degree in a healthcare-related field and a minimum of 3-5 years of experience in DRG auditing and clinical coding, with a strong background in ICD-10-CM and PCS codes.
  • Certifications and Skills: CCS or CIC certification, with experience in DRG auditing and clinical coding, and proficiency in Microsoft Office Suite.
  • Leadership and Communication Skills: Proven leadership and communication skills, with the ability to motivate and guide a team of clinical auditors.

What We Offer:

  • Competitive Salary and Benefits: A competitive salary and benefits package, including medical, dental, and vision insurance, 401(k) and ROTH 401(k) plans, and paid time off.
  • Opportunities for Growth and Development: Opportunities for career advancement and professional growth, with a focus on developing and maintaining expertise in clinical coding and auditing.


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