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DRG Auditor - Revenue Integrity

April 30, 2026

ABOUT THIS POSITIONWe are looking for a Revenue Integrity DRG Auditor who has a comprehensive understanding of hospital Revenue Cycle Management. Significant experience in the following areas: hospital inpatient coding, DRG assignment, charge capture, and hospital reimbursement methodologies. The candidate must have experience with using excel and performing financial analysis reviews. The ideal candidate for this position can approach problem-solving challenges independently, possess leadership experience, strong attention to detail, can provide outstanding customer service and enjoys working in a fast-paced, collaborative and team-based environment.WHAT YOU'LL DO<div><div><ul><li>Achieve and maintain assigned client financial performance goals </li></ul></div></div><div><div><ul><li>Validate code and DRG assignment and supporting clinical documentation based on physician documentation, UHDDS guidelines and official coding guidelines using proprietary technology and medical records </li><li>Assist in prediction enhancements to increase verification rates </li></ul></div></div>WHAT YOU'LL NEED<div><div><ul><li>Self-sufficient with strong analytical and research skills </li><li>In depth knowledge related to coding hospital inpatient record types, clinical documentation, payer reimbursement methodology, medical necessity criteria, billing requirements and applicable industry based standards </li><li>Remain current on ICD and CPT/ HCPC coding requirements </li><li>Proficient with Microsoft Office products and possess the ability to work effectively with computerized programs and databases </li></ul></div></div><div><div><ul><li>Ability to communicate effectively </li><li>Demonstrate independent judgment, discretion, and decision making abilities </li><li>Self-motivated, hardworking individual with a high attention to detail </li><li>Excellent organization skills </li></ul></div><div> </div></div><div><div>Experience </div><div><ul><li>3+ years of inpatient auditing/coding experience with ICD and CPT/HCPCS </li><li>Experience working within the hospital environment preferred </li><li>Experience in MS-DRG validation, APR-DRG validation and clinical validation </li><li>Experience related to PSI, HAC, and other quality metrics is a plus </li></ul></div></div><div><div> </div><div> </div><div>Education/Certification </div><div><ul><li>CCS, CPC, RHIT, RHIA, CDIP, CCDS or other coding/clinical certifications, credentials, or expertise preferred </li></ul></div></div><div>ABOUT WAYSTARThrough a smart platform and better experience, Waystar helps providers simplify healthcare payments and yield powerful results throughout the complete revenue cycle.Waystar’s healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. Waystar is trusted by 1M+ providers, 1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic & fun.Waystar products have won multiple Best in KLAS® or Category Leader awards since 2010 and earned multiple #1 rankings from Black Book™ surveys since 2012. The Waystar platform supports more than 500,000 providers, 1,000 health systems and hospitals, and 5,000 payers and health plans. For more information, visit <a href="https://www.waystar.com/" target="_blank" rel="noopener noreferrer">waystar.com</a> or follow <a href="https://twitter.com/Waystar" target="_blank" rel="noopener noreferrer">@Waystar</a> on Twitter. </div>WAYSTAR PERKS<ul><li>Competitive total rewards (base salary + bonus, if applicable)</li><li>Customizable benefits package (3 medical plans with Health Saving Account company match)</li><li>We offer generous paid time off for our non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays. We also offer flexible time off for our exempt team members + 13 paid holidays</li><li>Paid parental leave (including maternity + paternity leave)</li><li>Education assistance opportunities and free LinkedIn Learning access</li><li>Free mental health and family planning programs, including adoption assistance and fertility support</li><li>401(K) program with company match</li><li>Pet insurance</li><li>Employee resource groups</li></ul>Waystar is proud to be an equal opportunity workplace. We celebrate, value, and support diversity and inclusion. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...