- Emory Healthcare/Emory University (Atlanta, GA)
- …leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring ... data POA, Discharge Disposition. + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG . + Reviews non-CC/MCC… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** We are looking for a Revenue Integrity DRG Auditor who has a comprehensive understanding of hospital Revenue Cycle Management. ... and maintain assigned client financial performance goals + Validate code and DRG assignment and supporting clinical documentation based on physician… more
- The Cigna Group (Bloomfield, CT)
- **The DRG Auditor performs an in-depth review of the medical record to evaluate the diagnostic and procedural information in the record and validates accurate ... clinical documentation and validates facility coding for APR and MS DRG assignment.** **Demonstrated ability to understand the clinical content of a… more
- Elevance Health (FL)
- **Diagnosis Related Group Clinical Validation Auditor -** **Registered Nurse** **Location:** This position will work a hybrid model (remote and office). Ideal ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing...as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or… more
- Hackensack Meridian Health (Hackensack, NJ)
- …a leader of positive change. The **Diagnosis Related Group ( DRG ) Auditor ** is responsible for auditing clinical documentation that supports code assignment ... this includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency… more
- Humana (Columbus, OH)
- …our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
- Houston Methodist (Miami, FL)
- …appropriate, utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS- DRG ... **Coding Quality Auditor - 100% Remote (Must Live in FL,...FUNCTIONS** + Responds promptly to internal and external customer coding/ DRG requests. Responds promptly to Business Office requests to… more
- AdventHealth (Altamonte Springs, FL)
- …you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the inpatient or outpatient coding ... to achieve industry best practice levels of performance. The Corporate Quality Auditor will adhere to AdventHealth Corporate Compliance standards, as well as rules… 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.) **WORK MODEL/SALARY** 100%… more
- R1 RCM (Detroit, MI)
- …reducing operating costs and enhancing the patient experience. The Coding Denial Auditor will be responsible for reviewing denial coded cases for coding completeness ... and accuracy. This person will identify potential coding and DRG errors, researches appropriate guidelines to support recommended changes, and communicates the… more
- AdventHealth (Maitland, FL)
- **Coding Auditor Inpatient** **- Virtual** **Work Hours/Shift:** + Full Time Virtual **You Will Be Responsible For:** + Performs quality reviews on coded records to ... and overall accuracy of coding + Reviews, analyzes, and interprets clinical documentation, seeking clarification from the physician when discrepancies exist.… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Inpatient Coder Auditor Trainee reviews and analyzes ... accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …the general nature, level and purpose of the job. The Senior Charge Capture Auditor works closely with clinical departments to ensure compliance with government, ... payer, and internal charge capture policies; provides education to the clinical departments. This position works with Med Assets software to manage clinical … more
- Houston Methodist (Houston, TX)
- **Coding Quality Auditor - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)** At Houston Methodist, the Coding Apprentice position is responsible for ... application of positive language principles + Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance +… more
- Actalent (Rochester, MN)
- …Optum and Epic experience a huge plus. CCS and/or CRC are also a huge plus. DRG validation/ DRG auditor experience are also a plus. Experience Level ... Inpatient Clinical Documentation Integrity Specialist (ICDI) The Inpatient ... Clinical Documentation Integrity Specialist (ICDI) The Inpatient Clinical Documentation Integrity (ICDI) Specialist is accountable for reviewing… more
- Scottish Rite for Children (Dallas, TX)
- …to giving children back their childhood! Job Posting Title: Outpatient Clinical Documentation Improvement Specialist Location: Dallas - Hospital Additional Posting ... by HIM Leadership; acts as a resource to staff. + Provide clinical documentation integrity education and training to physicians, physician groups, and Advanced… more
- R1 RCM (Salt Lake City, UT)
- …+ Review and interpret medical records to appeal denied and underpaid claims. + Apply clinical judgment and knowledge for DRG downgrades performed because of a ... Clinical Validation Review by an insurer or third-party auditor . + Draft appeal letters that are well-written, logically structured, and persuasive, utilizing… more
- The Arora Group (Hampton, VA)
- …+ Have advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and ... last 10 years. Required experience must include Medical Severity-Diagnostic Related Group (MS- DRG ) assignment. A minimum of one year of performance in the specialty… more
- TEKsystems (Baltimore, MD)
- …(dictionaries, Coding Clinics, CPT assistant, Coding Policies, other literature, Clinical Documentation Specialists, Coordinator, Internal Auditor , etc) to ... and in a timely manner. * Assigns the appropriate APR/ DRG . * Is familiar with and follows the Coding...documents. Notifies admitting of registration errors. * Works with Clinical Documentation Specialists to develop a good working team.… more
- TEKsystems (Baltimore, MD)
- …(dictionaries, Coding Clinics, CPT assistants, Coding Policies, other literature, Clinical Documentation Specialists, Coordinator, Internal Auditor , etc) to ... query as appropriate and promptly. + Assign the appropriate APR/ DRG . + Is familiar with and follows the Coding...documents. Notifies admitting of registration errors. + Works with Clinical Documentation Specialists to develop a good working team.… more