RN CLINICAL DOCUMENT SPECIALIST AUDITOR, FCH - ENTERPRISE QUALITY CDI/UR/DM
Froedtert Health, Milwaukee, WI, United States
Location & Work Arrangement
Location: Milwaukee, Wisconsin (Froedtert Hospital). Remote work is possible for this position.
Job Summary
The RN Diagnosis-Related Group (DRG) Auditor conducts targeted and random audits of finalized inpatient medical records to assess the accuracy of DRG assignments. The auditor ensures compliance with documentation standards, accurate reflection of patient acuity, and maximized reimbursement aligned with federal and payer regulations.
Experience
A minimum of 5 years of experience in Clinical Documentation Integrity and/or inpatient coding/auditing.
Education
Bachelor’s degree in nursing or foreign trained medical graduate required. In lieu of a BSN, an Associate degree in nursing and a Bachelor’s in a relevant field may be substituted. A master’s degree is preferred.
Skills
Proficiency with MS-DRGs, APR-DRGs, and official coding guidelines. Experience with audit tools, EHR systems, and data analytics platforms.
Licensure
Current state of WI Registered Nurse license or current license from a participating state in the Nurse Licensure Compact. Advanced certification related to CDI (CCDS, CDIP, or CCS) is required.
Compensation & Benefits
Pay is expected to be between $38.92 and $60.33 per hour. Final compensation is based on experience and will be discussed during the interview process.
Paid time off
Growth opportunities – Career Pathways & Career Tuition Assistance, CEU opportunities
Academic partnership with the Medical College of Wisconsin
Referral bonuses
Retirement plan – 403b
Medical, Dental, Vision, Life Insurance, short and long term disability, free workplace clinics
Employee Assistance Programs, adoption assistance, healthy contributions, care at work, moving assistance, discounts on gym memberships and other work‑life benefits available
Equal Employment Opportunity Statement
We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages, and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug‑free workplace and perform pre‑employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.
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Location: Milwaukee, Wisconsin (Froedtert Hospital). Remote work is possible for this position.
Job Summary
The RN Diagnosis-Related Group (DRG) Auditor conducts targeted and random audits of finalized inpatient medical records to assess the accuracy of DRG assignments. The auditor ensures compliance with documentation standards, accurate reflection of patient acuity, and maximized reimbursement aligned with federal and payer regulations.
Experience
A minimum of 5 years of experience in Clinical Documentation Integrity and/or inpatient coding/auditing.
Education
Bachelor’s degree in nursing or foreign trained medical graduate required. In lieu of a BSN, an Associate degree in nursing and a Bachelor’s in a relevant field may be substituted. A master’s degree is preferred.
Skills
Proficiency with MS-DRGs, APR-DRGs, and official coding guidelines. Experience with audit tools, EHR systems, and data analytics platforms.
Licensure
Current state of WI Registered Nurse license or current license from a participating state in the Nurse Licensure Compact. Advanced certification related to CDI (CCDS, CDIP, or CCS) is required.
Compensation & Benefits
Pay is expected to be between $38.92 and $60.33 per hour. Final compensation is based on experience and will be discussed during the interview process.
Paid time off
Growth opportunities – Career Pathways & Career Tuition Assistance, CEU opportunities
Academic partnership with the Medical College of Wisconsin
Referral bonuses
Retirement plan – 403b
Medical, Dental, Vision, Life Insurance, short and long term disability, free workplace clinics
Employee Assistance Programs, adoption assistance, healthy contributions, care at work, moving assistance, discounts on gym memberships and other work‑life benefits available
Equal Employment Opportunity Statement
We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages, and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug‑free workplace and perform pre‑employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.
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