Remote Senior Inpatient Auditor u2013 MS-DRG & ...

Remote Senior Inpatient Auditor u2013 MS-DRG & Clinical Validation Category: Analytics and Emerging Digital Technologies Main location: United States, Tennessee, Knoxville Alternate Location(s): United States, Texas, Dallas United States, Texas, Houston United States, North Carolina, Charlotte United States, Georgia, Atlanta Position ID: J0126-0519 Employment Type: Full Time Position Description: CGI is seeking a high-caliber MS-DRG Auditor to join our Healthcare Compliance Team. In this role, you will be a key defender of payment accuracy, reviewing complex medical records to ensure that coding and reimbursements for Commercial and Government health plans are precise and well-supported. You will leverage your deep inpatient coding expertise and clinical intuition to identify improper payments while producing thoroughly documented decisions. At CGI, you aren't just an auditor; you are part of a structured professional ecosystem that prioritizes continuous learning, quality management, and career mentorship. Your future duties and responsibilities: Clinical Record Validation: Review inpatient medical records to validate the assignment and sequencing of ICD-10 codes, discharge status, Hospital Acquired Conditions (HACs), POA assignment, and final DRG. Documentation Excellence: Author detailed rationale for every audit finding, producing

Created: 2026-01-16