[Hiring] Director of Pre-bill DRG Validation Program @CorroHealth

Role Description

The Director will develop and implement CDI strategies, policies, and workflows to optimize documentation processes and improve clinical outcomes and data integrity. This is a remote position that may require up to 30% travel.

• Grow the business and define the market strategy.
• Oversee a team of CDI professionals and ensure high-quality service delivery supporting multiple clients and systems.
• Support client relationships, performance reporting, and the growth of CDI service lines.

Qualifications

• Clinical degree required: Registered Nurse (BSN or ADN with active licensure), Doctor of Medicine (MD/DO), Physician Assistant, Nurse Practitioner, or equivalent clinical credential from an accredited institution.
• Bachelor's degree required; Master's degree (MSN, MHA, MBA, or related) preferred.
• All required certifications:
  • Coding certification: CCS (AHIMA) Preferred
  • CDI certification: CCDS (ACDIS) or CDIP (AHIMA) required.

Requirements

• Minimum five (5) years of hands-on experience performing and/or overseeing DRG validation reviews, including MS-DRG and APR-DRG methodologies, clinical validation, and pre-bill review workflows.
• Minimum three (3) years of people management experience leading clinical, coding, or CDI teams, including direct supervision of managers or team leads.
• Demonstrated experience managing programs in a hospital, health system, payer, or healthcare consulting/outsourcing environment.
• Proven track record of delivering measurable financial and quality outcomes through DRG validation or CDI programs.

Benefits

• Competitive base salary commensurate with experience, plus annual performance-based bonus.
• Comprehensive medical, dental, and vision coverage.
• 401(k) with company match.
• Paid time off and holidays.
• Continuing education and certification maintenance support.

Company Description

CorroHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.