Clinical Documentation Consultant (CDI) DRG Validation / Auditor
$45 - $50 per hourPyramid Inc.
Clinical Documentation Consultant (CDI) DRG Validation / Auditor
Immediate need for a talented Clinical Documentation Consultant (CDI) DRG Validation / Auditor. This is a 06+ months contract opportunity with long-term potential and is located in US(Remote).
Pay Range: $45 - $50/hour. Traveler benefits as per agency package. (Benefits vary by vendor and assignment).
Key Responsibilities:
- Perform concurrent and retrospective inpatient chart reviews
- Review provider documentation for completeness and accuracy
- Assign and validate MS-DRGs
- Develop compliant physician queries
- Improve Severity of Illness (SOI) and Risk of Mortality (ROM) capture
- Collaborate with physicians, coders, CDI, HIM, Case Management and Quality teams
- Identify CC/MCC opportunities and documentation gaps
- Support denial prevention and clinical validation initiatives
- Educate providers regarding documentation best practices
- Maintain productivity and quality standards while working remotely
Key Requirements and Technology Experience:
- RN, BSN, MSN, MD or Foreign Medical Graduate
- Minimum 4 years of clinical nursing or physician experience
- Minimum 2 years of inpatient CDI experience
- Experience with DRG assignment
- Experience performing physician queries
- Knowledge of ICD-10-CM, MS-DRGs, SOI/ROM
- BSN, MSN, MD, or higher clinical degree.
- CCDS, CDIP, CCS, CPC, RHIA, or RHIT certification.
- Experience with 3M CDI and coding applications.
- ICU, Critical Care, Emergency Department, Hospitalist, Case Management, Utilization Review, or CDI experience.
Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.
Pyramid Inc.Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Clinical Documentation Consultant (CDI) DRG Validation / Auditor in Oakland, CA vacancy
$100k - $155k
...Reston, VA. What You'll Do Contribute to authorization package documentation (SSPs, POA&Ms, SAPs), with attention to FedRAMP High baseline... ...inquiries Implement and document NIST SP 800-53 controls, validating effectiveness and gathering evidence across FedRAMP Moderate,...SuggestedFull timeLive inWorldwideFlexible hours$22 per hour
...Inventory Auditor – Contract-to-Hire Location: Oakland/Cloverdale/Oakley, Fort Bragg... ...use your own reliable vehicle, maintain valid driver's license and active auto insurance... ...as scheduled Submit required audit documentation and reports Work in varied environments...SuggestedHourly payPermanent employmentContract workWork from homeMonday to FridayNight shiftParkerBeth
Oakland, CA4 days ago- ...and analyzing evidence, and documenting management processes and procedures... ...analytical methodologies to validate completeness, accuracy, and... ...Certified Internal Auditor (CIA) and/or Certified Information... ...Promise Health Plan; Altais, a clinical services company; and Stellarus...SuggestedFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week
Blue Shield Of California
Oakland, CA4 days ago $105k
...Director of Internal Audit, the Senior IT Auditor is responsible for evaluating technology... ...and the ability to independently plan, document, and deliver risk-based audits while... ...audit issues , including status updates, validation activities, and escalation of overdue or...SuggestedWork at officeLocal areaRemote workPacific Gas And Electric Company
Oakland, CA4 days ago$38.46 - $52.4 per hour
...hospitals and medical clinics are under immense pressure... ...The Inpatient Coding Auditor will be responsible... ...ensure coding accuracy and DRG accuracy of a minimum... ...of the clinical documentation guidelines. Monitor... ...query practices when consulting with physicians, Clinical...SuggestedHourly payPermanent employmentWork at officeLocal areaImmediate startRemote workFlexible hoursDay shiftHuron Consulting Group
San Francisco, CA1 day ago- ...enforcement and terrorism, immigration, and transportation security. Auditors examine DHS programs or activities in a formalized, detailed,... ...non-competitive appointment and to understand the required documentation, click on the links above or contact the Servicing Human...Full timePart timeWork at officeRemote workFlexible hours
Office of Inspector General
Oakland, CA3 days ago - .... We are seeking an experienced Senior Auditor - Finance and Operations to join our Internal... ...& Assurance Plan, execute, and document SOX walkthroughs and control design/operating... ...and business leadership to design and validate effective remediation. Apply professional...Contract workWork at officeLocal areaWork from homeFlexible hours
- Overnight Hotel Self Parking Lot Auditor - San Francisco, CA San Francisco, CA, USA Job... ...maintain order and security. Reporting, Documentation and Attention to Detail Complete shift... ...mandatory. Certificates and Licenses A valid driver’s license and reliable transportation...Hourly payMinimum wageFull timePart timeLocal areaShift workNight shiftWeekend work
$115k - $140k
...key campus committees. Responds to requests for management consultations and advisory services. May conduct investigations and assist... ...agency information requests and site visits; analyzes documentation to identify potential risk areas, facilitates review of external...Full time$169k - $189k
...the ITSM tool (e.g., ServiceNow, Jira), keeping tickets and documentation current. Coordinate with vendors and internal teams to resolve... ...Write and run queries/reports (e.g., SQL) to analyze issues, validate data, and support audit and month‑end close activities. Partner...Work at officeLocal area2 days per week3 days per weekVisa Hunt
San Francisco, CA1 day ago$150 per hour
...Knit Health is building a novel clinical foundation model to improve the way healthcare... ...clinician to serve as an on-the-ground clinical consultant, bringing hands‑on clinical judgment to... ...unless such collection displays a valid OMB control number. This survey should take...Full timeContract workFor contractorsFor subcontractorWork at office10 hours per weekKnit Health
San Francisco, CA13 hours ago- Penumbra, Inc. is seeking a Clinical Specialist to support regional sales teams in market development, education, training, troubleshooting and customer service. The role covers procedural coverage and follow-up, and may require significant travel within the region. Ideal...
$132.4k - $165.5k
...To contribute to this effort, we’re looking to hire a Senior IT Auditor to support the efforts of our Internal Audit function at... ...controlsAssess compliance with Mercury’s compliance obligationsSocialize, document, and report audit issues identifiedCollaborate with teams to...$101k - $155k
...programs across multiple frameworks and certifications. The IT Audit Manager builds and runs Tanium's audit program, leading a team of auditors, developing audit methodology, and driving remediation of control gaps. The IT Audit Manager works closely with leadership,...Full timeLive inWorldwideFlexible hours$99k - $232k
...services to clients across various industries. Within our Risk Consulting practice, you will help build, optimize, and deliver internal... ...technologies and leading practices across internal audit teams- Validating data integrity, security, and compliance within audit...Full timeH1b$20 per hour
...progress Train, coach and develop Inventory Auditors and Crew Leads Perform audits,... ...timekeeping, paperwork and required job documentation Account for VIS equipment and resources... ...without constant supervision A valid driver's license and acceptable driving...Local areaFlexible hoursNight shiftWeekend workAfternoon shiftEarly shiftValley Inventory Services
Hayward, CA2 days ago$166k - $170k
...SecurityPal, Inc. San Francisco, CA TITLE: Information Security Auditor DUTIES: Lead a team that provides comprehensive... ...Compliance, evaluating current processes, controls, and documentation to identify gaps and areas needing improvement to achieve compliance...Work experience placementRemote work8848M LLC
San Francisco, CA4 days ago$110k - $160k
...clients' program requirements and standards and policies to drive the overall design process. Assist in the development of the scope document outlining work effort and schedule during proposal development and contract discussions. Lead periodical project meetings and...Contract workDGA
San Francisco, CA4 days ago- ...Auditor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking a highly skilled Auditor to provide general... ...to identify potential witnesses and relevant financial documents. Prepare concise and accurate reports of results of analysis...Full timeWork experience placementInterim roleWork at officeLocal areaFlexible hours
Contact Government Services LLC
San Francisco, CA4 days ago - ...Silicon Valley investors. You’ll work directly with CFOs, CAEs, and audit leaders at public companies to streamline control testing, documentation, and evidence gathering through our AI Agents. You’ll lead engagements, mentor junior staff, manage client expectations, and...
$43 - $47 per hour
COMPANY DESCRIPTION Paxon Energy and Infrastructure LLC, the leading force in the energy industry, is driven by our unwavering commitment to sustainable solutions and exceptional services. With a collaborative and inclusive culture, Paxon fosters personal and professional...Hourly payFull timeFor contractorsRelocationPaxon Energy and Infrastructure Services
Oakland, CA1 day ago$119k - $299.93k
...underlying problems and/or opportunities.Validate outcomes with clients, share alternative... ...- 7 years of IT controls auditing, consulting and/or implementing IT solutions- Certified... ...(CPA) or Certified Information Systems Auditor (CISA)What Sets You Apart- Preferred field...Full timeH1b$124k - $280k
...Description & SummaryThe OpportunityAs a Payer STARS/Quality Clinical Consultant, Senior Manager, you will engage with clients in the health... ...that tell a holistic story. This opportunity allows you to validate outcomes with clients, share alternative perspectives, and act...Full timeH1b$90k - $110k
...development and maintenance of standard financial reports and queries, with opportunities to learn reporting tools such as SSRS and SQL.Document system configurations, processes, and best practices to strengthen team knowledge and support operational continuity.Support...Full timeWork at office$132.4k - $165.5k
...contribute to this effort, we’re looking to hire a Senior Internal Auditor to support the efforts of our Internal Audit function at... ...obligations (regulatory reporting, financial reporting)Socialize, document, and report audit issues identifiedCollaborate with teams to develop...- ...focused on Third Party Attestation to lead SOC and related attestation engagements. Responsibilities include planning examinations, documenting control environments, and supervising staff while applying professional standards across diverse client industries. The role...
- Tanium is seeking a FedRAMP and compliance-focused professional to support cloud authorization packages, continuous monitoring, and control implementation across federal civilian and defense environments. Working with Senior GRC staff, you will coordinate with security,...
$96.7k - $125.7k
...strategies, and process improvements. Deliver high‑quality audit documentation and insights, and contribute to the evolution of audit... ...CRISC, CISSP, or equivalent. Experience working with external auditors and supporting SOX reliance strategies (e.g., SOC reports, CUECs...Minimum wageWork at office$115k - $140k
A major public university in California is seeking an experienced auditor to lead complex audit projects and evaluate internal controls. The position involves analyzing compliance, reporting findings, and improving university operations. Candidates should possess a bachelor...- California Department of Tax and Fee Administration (CDTFA) is seeking a Senior Tax Auditor to independently conduct audits of retailers and other business enterprises, including potential testimony in court. The role supports fraud and tax-evasion investigations with detailed...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Documentation Consultant (CDI) DRG Validation / Auditor. Be the first to apply!
Related searches