- Elevance Health (Indianapolis, IN)
- ** DRG (DIAGNOSTIC RELATED GROUP) CODING AUDITOR ** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will live ... PulsePoint locations. The **DIAGNOSTIC RELATED GROUP CODING AUDITOR ** is responsible for auditing inpatient medical... DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending… more
- R1 RCM (Boise, ID)
- As the Inpatient Coding and Documentation Auditor I, your primary role will be auditing inpatient cases for DRG validation and/or documentation ... accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. Everyday...and DRG reimbursement experience, with recent acute inpatient coding experience For this US-based position,… more
- R1 RCM (Detroit, MI)
- …cycle - one that promotes patient satisfaction and improves financial performance. As the Inpatient Coding and Documentation Auditor II, your primary role ... will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of reviewing...accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. Every… more
- AdventHealth (Tampa, FL)
- …Stroke Association as a Primary Stroke Center. **The role you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the ... is responsible for the daily auditing of records. The Inpatient Coding Quality Auditor works...you'll bring to the team:** . Reviews records for DRG and overall coding accuracy retrospectively and… more
- Nuvance Health (Danbury, CT)
- …Officer (SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor providesHospital Inpatient and Outpatient coding , billing, and ... 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)
- …the 3M coding computer system. + Assists and provides feedback to the Inpatient HIM Supervisor and Inpatient Coding Manager with education sessions for ... and serve as a leader of positive change. The ** Coding Quality Auditor ** is responsible for monitoring...Attends monthly coding in-services provided by the Inpatient Coding Educator. + Assists the … more
- Houston Methodist (Austin, 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 ... **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding / DRG requests. Responds promptly to Business Office requests to code… more
- The Mount Sinai Health System (New York, NY)
- …beyond what is found in the medical record. 7. Performs data quality reviews on inpatient records to validate the ICD-9-CM codes, MS- DRG or AP- DRG , APR- ... review denials and coordinate the appeal process. As front-line auditor , reviews cases denied and renders determinations whether or...10 years experience, to include 3+ years of medical/surgical coding and 3+ years of DRG appeal.… more
- Northwell Health (Garden City, NY)
- …6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the coding and CDI staff. ... RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical.** Validates Acute Inpatient … more
- Hackensack Meridian Health (Hackensack, NJ)
- …includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and ... and serve as a leader of positive change. The **Diagnosis Related Group ( DRG ) Auditor ** is responsible for auditing clinical documentation that supports code… more
- Medical Mutual of Ohio (OH)
- …DRG ,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** **Clinical Auditor ** + **Audits outpatient, inpatient and professional ... staff.** + **Performs other duties as assigned.** **Sr Clinical Auditor ** + **Audits outpatient, inpatient and professional...inpatient and professional claims from a clinical and coding perspective applying coding guidelines and edits.… more
- Elevance Health (Columbus, OH)
- …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical...Experience with third party DRG Coding and/or Clinical Validation Audits or… 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 ... Healthcare Administration, or related healthcare field. **Required Experience:** Five years of inpatient /outpatient coding to include two years of coding … more