Supervise DRG coding audits, ensuring compliance with coding guidelines, provide training, conduct quality assurance, and generate reports for clients.

Audits zero-balance hospital accounts to identify underpaid inpatient and outpatient claims. Reviews payer contracts, medical records, policies, regulations, and payment data; models reimbursement methodologies; researches underpayment trends; and develops audit plans, pricing documents, and technical procedures using Excel, Access, and SQL. Senior auditors lead complex investigations, provide quality reviews, mentor staff, and recommend process improvements.