- UCLA Health (Los Angeles, CA)
- Description As an Inpatient Coding Auditor with a specialization in DRG payment reviews, you will conduct thorough audits of inpatient coding to ensure ... to various hospital departments. Additional responsibilities include: + Conducting quality and DRG payment reviews for inpatient services to ensure accurate… more
- AdventHealth (Maitland, FL)
- **Coding Auditor Inpatient ** **Work Hours/Shift:** + Full Time **You Will Be Responsible For:** + Performs quality reviews on coded records to validate ICD-9, ... **:** + RHIA, RHIT, or CCS certification or credential **Job Summary:** The Inpatient Coding Auditor , under general supervision, is responsible for validating… more
- Nuvance Health (Danbury, CT)
- …Special Associate Compliance Officer (SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor providesHospital Inpatient and Outpatient ... as all coding Federal, State, and third party payer guidelines. Conducts inpatient and/or outpatient coding audits and provides educational programs based on… more
- Hackensack Meridian Health (Hackensack, NJ)
- …this includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency ... a leader of positive change. The **Diagnosis Related Group ( DRG ) Auditor ** is responsible for auditing clinical...the current Office of Inspector General work plans for DRG risks. + Monitors inpatient case mix… more
- AdventHealth (Altamonte Springs, FL)
- …**Job Location** : **Monday-Friday** **Remote** **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator ... . Epic experience **EDUCATION AND EXPERIENCE REQUIRED:** . Five (5) years of inpatient or outpatient coding or Coding Quality Auditor experience . Completion… more
- Elevance Health (Denver, CO)
- …of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... inpatient encounters based upon documentation within the electronic medical...FUNCTIONS** + Responds promptly to internal and external customer coding/ DRG requests. Responds promptly to Business Office requests to… more
- Hackensack Meridian Health (Neptune, NJ)
- …and serve as a leader of positive change. The Coding Quality Auditor is responsible for monitoring compliance with applicable clinical documentation to support ... a Clinical Documentation Specialist includes: + Reviews Diagnosis-Related Group ( DRG ) assignment for selected Medicare/Medicaid inpatients; Hospital-Acquired Condition (HAC);… more
- UPMC (Pittsburgh, PA)
- …CPT, Modifiers, etc.). + Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting ... **UPMC Corporate Finance is hiring a full-time Compliance Auditor , Intermediate. This position will be based out...and HCPCS codes or CPT and HCPCS ICD-10-CM-PCD and DRG assignment appropriateness to ensure consistency and efficiency in… more
- Baylor Scott & White Health (Columbus, OH)
- **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to ... coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS),...ensure accurate coding and grouping of classification assignment (eg, MS- DRG , APR- DRG , APC etc.) **ESSENTIAL FUNCTIONS OF… more
- Baylor Scott & White Health (Columbus, OH)
- **JOB SUMMARY** The Coding Auditor 2 is proficient in various types of coding and is responsible for performing coding quality audits, providing feedback to coders ... providing education via both written and oral presentations. The Coding Auditor 2 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare… more
- R1 RCM (Chicago, IL)
- …flows while reducing operating costs and enhancing the patient experience. As our Inpatient Production Auditor , you will be responsible for auditing inpatient ... detail-oriented and flexible in a work environment. **RESPONSIBILITIES** + Audit inpatient cases for DRG validation + Review inpatient medical records for… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Inpatient Coder ... Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Inpatient Coder Auditor Trainee finalizes the coding and abstracting of… more
- The Arora Group (Hampton, VA)
- … Auditor (CEMA). This will satisfy the Evaluation and Management (E&M) Auditor Certification. + Possess either the Certified Inpatient Coder (CIC) or ... Medical Coder- Inpatient Admin Currently recruiting an ON-SITE Medical Coder-...years. Required experience must include Medical Severity-Diagnostic Related Group (MS- DRG ) assignment. A minimum of one year of performance… more
- TEKsystems (Baltimore, MD)
- …the query as appropriate and in a timely manner. + Assigns the appropriate APR/ DRG . + Is familiar with and follows the Coding Compliance plan. + Abstracts ... predetermined information from inpatient , day surg, ER, and outpatient records and enters that information on to the medical record abstract. + Enters appropriate… more
- SSM Health (MO)
- …+ Bachelor's Degree in Nursing preferred. + Three - five years acute inpatient care experience preferred. + Mortality and PSI review experience preferred.. + Epic ... vital member of the interdisciplinary care team member, an auditor , and an educator ensuring medical records are complete...(O/E ratios), industry trends, variable and diagnosis review group ( DRG ) frequency. + Serves as a liaison between coding… more
- MD Anderson Cancer Center (Houston, TX)
- …of institutional coding policies and procedures; maintains knowledge of ICD-10-CM, PCS, DRG , SOI, ROM and CPT-4 coding guidelines according to CMS, AMA, AHA ... other departmental users 14. Ability to cover for other trainer(s) and/or auditor (s) 15. All other assigned duties **Working Conditions** This position requires:… more