- Elevance Health (Morristown, NJ)
- … Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
- AdventHealth (Maitland, FL)
- ** Coding Auditor Inpatient** **Work Hours/Shift:** + Full Time Remote **You Will Be Responsible For:** + Performs quality reviews on coded records to validate ... system as well as any area of weakness identified during the performance of coding validation reviews + Prepares statistical reports conveying the individual and… more
- R1 RCM (Detroit, MI)
- …and flexible in a work environment. **RESPONSIBILITIES** + Audit inpatient cases for DRG validation + Review inpatient medical records for validation ... operating costs and enhancing the patient experience. As our Inpatient Production Auditor , you will be responsible for auditing inpatient cases and reviewing… more
- UPMC (Pittsburgh, PA)
- …Microsoft Office products (Excel, Access, OneDrive, OneNote, and Word). + Experience with DRG Assignment and clinical validation of diagnoses. + Experience with ... UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday -… more
- R1 RCM (Boise, ID)
- …judgment and knowledge for DRG downgrades performed because of a Clinical Validation Review by an insurer or third-party auditor . + Draft appeal letters ... AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse** , you will help review and...day you will review medical records to ensure appropriate coding of removed or revised diagnosis and procedure codes.… more