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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in reviewing inpatient medical records for DRG coding accuracy, applying clinical knowledge to identify discrepancies, and documenting findings professionally. Proficient in using industry tools and maintaining compliance with clinical guidelines and DRG rules.
Highest-signal resume keywords
Registered Nurse (RN)DRG AuditsClinical Documentation ImprovementCCS CertificationExcel Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
DRG CodingClinical KnowledgeCoding ValidationInpatient Medical Record ReviewDocumentation Skills
Soft Skills
Time ManagementProfessional CommunicationTeam CollaborationIndependent Work
Tools & Technologies
3MWebstratExcelWordOneNote
Certifications & Qualifications
Registered Nurse (RN)CCSRHIARHIT
Industry Keywords
Acute Care ExperienceReadmission ReviewsClinical GuidelinesDRG RulesProductivity Goals
About the role
Key responsibilities & impact- Review inpatient medical records to verify that DRG codes are supported by documentation
- Apply clinical and coding knowledge to identify inaccuracies and potential overpayments
- Document findings in clear, professional language explaining the review rationale
- Use industry tools such as 3M or Webstrat to support review decisions
- Work independently while meeting productivity and quality goals
- Stay current with clinical guidelines, DRG rules, and industry trends
Requirements
What you’ll need- Registered Nurse (RN) with an active license
- 5+ years of acute care experience (hospital setting preferred)
- Experience in DRG audits or coding validation is a big plus
- Certifications such as CCS, RHIA, or RHIT are a plus
- Knowledge of readmission reviews (PPR) is a plus
- Ability to explain clinical decisions clearly and professionally
- Ability to manage time well and stay focused working remotely
- Comfortable using Excel, Word, and OneNote
- Ability to work as part of a supportive, high-performing team
- A brief coding/auditing assessment may be included in the interview process
Benefits
Comp & perks- Fully remote work
- Up to 10% annual travel for team meetings and limited client onsite engagements
- Supportive, high-performing team culture
- Opportunity to grow in the fast-evolving world of healthcare analytics
- Training on 3M or Webstrat if needed