Group Auditor - IP Coding

Group Auditor - IP Coding performs detailed audits of inpatient cases, including documentation, coding, charge capture, medical necessity, LOS justification, and DRG placement. The role evaluates adherence to UAE payer rules, DRG guidelines, and internal standards across multiple hospitals. The Auditor collaborates closely with coding, CDI, revenue integrity, case management, and clinical teams to communicate findings, drive corrective actions, and monitor improvements. The position also supports external audit preparedness, internal risk mitigation, and enterprise-wide compliance initiatives.

• Conduct comprehensive audits of inpatient claims, coding accuracy, DRG assignment, LOS justification, and documentation completeness.

• Verify that clinical documentation appropriately supports coded diagnoses, procedures, and DRG weight.

• Audit high-value claims, clinical high-risk specialties, and cases fla...