DRG Downgrade Clinical Documentation Improvement - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ

Company

Capital Health System

Where

3131 Princeton Pike

Level

Mid

Pay stated

$39.4–$51.47 an hour

First seen

November 13, 2026

Listed via

Workday

What the posting says

40 Position Overview Responsible for clinical documentation review, validation, and improvement activities related specifically to DRG downgrades. Focuses on prevention and defense of DRG downgrades initiated by payers and third-party audit firms through comprehensive documentation review, provider query support, and collaboration with clinical and denial management teams to support accurate DRG assignment and appeal success. MINIMUM REQUIREMENTS Education: Graduate of an accredited school of nursing required Experience: Three years' CDI experience required. Experience with DRG validation,…

Read more and apply on Capital Health System's site

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