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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in DRG coding and auditing, with a strong focus on clinical documentation accuracy and compliance. Proficient in using industry tools and maintaining productivity while working independently in a remote setting.
Highest-signal resume keywords
Registered Nurse (RN)DRG CodingClinical Documentation ReviewCCS 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 AuditsCoding ValidationClinical Guidelines KnowledgeReadmission Reviews (PPR)Documentation Accuracy
Soft Skills
Clear CommunicationTime ManagementIndependent Work
Tools & Technologies
3MWebstratExcelWordOneNote
Certifications & Qualifications
CCSRHIARHIT
Industry Keywords
Acute Care ExperienceHospital SettingClinical KnowledgeAudit DecisionsProductivity 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 rationale for each review
- Use industry tools such as 3M or Webstrat to support audit 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 plus
- CCS, RHIA, or RHIT certifications are a plus
- Knowledge of readmission reviews (PPR) is a plus
- Ability to explain clinical decisions clearly and professionally
- Ability to manage time and stay focused while working remotely
- Comfortable using Excel, Word, and OneNote
- Ability to work independently and meet productivity and quality goals
- 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
- Opportunity to grow in the fast-evolving world of healthcare analytics
- Benefits information available at https://www.exlservice.com/us-careers-and-benefits