• Inpatient DRG Coding Auditor

    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 the ... the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition. +...+ Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG . + Reviews… more
    Emory Healthcare/Emory University (12/07/24)
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  • DRG Coding Auditor

    Elevance Health (St. Louis, MO)
    ** DRG Coding Auditor (DIAGNOSTIC RELATED GROUP)** _This position will work virtually._ _Alternate locations may be considered._ _The Ideal candidate must live within ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG Coding Auditor** is responsible for auditing inpatient medical records… more
    Elevance Health (01/11/25)
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  • Clinical Reimbursement Manager; HSO Drg

    Mount Sinai Health System (New York, NY)
    **Job Description** The purpose of DRG validation is to confirm that diagnostic, procedural information, and the discharge status of the beneficiary, as coded and ... 10th Revision (ICD-10-CM and ICD-10-PCS) codes and the Diagnosis Related Groups ( DRG ). The CRM reviews the physician documentation for specificity, completeness and… more
    Mount Sinai Health System (12/18/24)
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  • Director Clinical and DRG Denials

    Kaleida Health (Buffalo, NY)
    **Director Clinical and DRG Denials** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job ... Description **Summary:** The Director, Clinical & DRG Denials provides clinical leadership and administrative guidance to the Clinical Revenue Cycle department.… more
    Kaleida Health (12/19/24)
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  • GIS Field Technician | DRG Utility Asset…

    The Davey Tree Expert Company (San Antonio, TX)
    GIS Field Technician | DRG Utility Asset Management San Antonio, TX, US, 78266 **Additional Locations:** Seguin, TX and Surrounding Areas **Primary Locations:** TX, ... Overview** **Asset Management** is a division of **Davey Resource Group Inc. ( DRG )** which has been employee-owned since 1979. Asset Management specializes in… more
    The Davey Tree Expert Company (01/10/25)
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  • DRG Auditor

    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. Significant ... experience in the following areas: hospital inpatient coding, DRG assignment, charge capture, and hospital reimbursement methodologies. The candidate must have… more
    Waystar (12/30/24)
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  • Senior, DRG Coder - Revenue Cycle Coding

    UTMB Health (Galveston, TX)
    Senior, DRG Coder - Revenue Cycle Coding **Galveston, Texas, United States** **Hot** Business, Managerial & Finance UTMB Health Requisition # 2405161 **Minimum ... or equivalent and three years of experience. The Sr. DRG coder must be proficient in inpatient coding with...all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and… more
    UTMB Health (01/18/25)
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  • DRG Coding Auditor

    University of Utah Health (Salt Lake City, UT)
    …position audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate reimbursement and ... audits the accuracy and completeness of diagnoses, procedure coding, abstracted data and DRG assignment. + Reviews non-CC/MCC records to determine if the record was… more
    University of Utah Health (01/14/25)
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  • Traveling Field Technician | DRG Utility…

    The Davey Tree Expert Company (Atlanta, GA)
    Traveling Field Technician | DRG Utility Asset Management Atlanta, GA, US, 30360 **Additional Locations:** Carrolton, GA and Surrounding Areas **Primary Locations:** ... Management is a division of Davey Resource Group Inc. ( DRG ) which has been employee-owned since 1979. Asset Management...- 45 hours per week. Compensation based on experience. DRG offers excellent benefits including: health, dental, vision and… more
    The Davey Tree Expert Company (01/10/25)
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  • DRG Validator

    WMCHealth (Valhalla, NY)
    DRG Validator Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info Mgmt-WMC Health ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28109) Internal Applicant link Job Details: Job Summary: The DRG Validator will be responsible for coding reviews for… more
    WMCHealth (12/13/24)
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  • Inpatient DRG Coding Specialist, HIM…

    Insight Global (Miami, FL)
    Job Description Insight Global is looking to hire 2 remote Inpatient DRG Coding Specialists for a healthcare provider in the South Florida area. We are seeking a ... detail-oriented and experienced Inpatient DRG Coding Specialist to join our Health Information Management...records to assign appropriate ICD-10-CM/PCS codes. * Ensure accurate DRG assignment and compliance with coding guidelines and regulations.… more
    Insight Global (12/25/24)
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  • Medical Director - Medical Policy & Operations…

    CVS Health (Sacramento, CA)
    …Commercial and Medicare environment. In addition, be a subject matter expert in DRG reviews and ICD-10 code selection. This Medical Director provides subject matter ... CPT, Clinical Policy, Reimbursement and Health Care Systems. * Experience with DRG reviews * Prior hospitalist experience * Strong communication skills both written… more
    CVS Health (01/19/25)
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  • Hospital Coder- DRG

    South Central Regional Medical Center (Laurel, MS)
    …Assigning Present on Admission indicators is also necessary to ensure the most accurate DRG is captured. + Inpatient coding steers reimbursement and the case mix for ... the facility. + Accuracy and competence is an essential part of coding to ensure appropriate code assignments. + Ongoing team participation and continual learning of coding skills is necessary to provide SCRMC with quality coding. Job Duties: + Assign… more
    South Central Regional Medical Center (12/14/24)
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  • Program Associate - USAID

    Wittenberg Weiner Consulting LLC (Washington, DC)
    …Program Associate to support USAID's Bureau for Democracy, Human Rights, and Governance ( DRG ). The DRG Program Associates are intended to serve as ... staff to support technical and management aspects of the DRG Bureau and its operations. The Program Associate will...Program Associate will help manage mechanisms intended to advance DRG objectives, as well as ensure that the … more
    Wittenberg Weiner Consulting LLC (01/18/25)
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  • Diagnosis Related Group Auditor

    Hackensack Meridian Health (Hackensack, NJ)
    …serve as 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 and efficiency… more
    Hackensack Meridian Health (12/06/24)
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  • RN Clinical Documentation Specialist, First…

    SSM Health (MO)
    …documentation to reflect treatment, decision-making and medical documentation. Assigns a working DRG and severity level using coding rules and guidelines with follow ... reviews for comparative analysis of CDI Specialist and HIM APR- DRG and severity level assignment. Reviews clinical issues with...issues with the coding staff to assign a working DRG . Develops and conducts ongoing education for new staff,… more
    SSM Health (12/05/24)
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  • Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …data and coding of all diagnosis and procedure codes to assure properly assigned MS- DRG for the purposes of appealing proposed MS- DRG and coding changes by ... record reviews for diagnosis and procedure code assignment and MS- DRG accuracy for inpatient encounters and CPT assignment for...encounters and CPT assignment for OP encounters. 2. Analyze DRG or CPT denial letters and draft appeal letters,… more
    St. Luke's University Health Network (11/09/24)
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  • Inpatient Coder 4 Certified / HIM Coding

    Hartford HealthCare (Newington, CT)
    …assignment of alpha numeric diagnosis/procedure codes and Diagnosis Related Groups ( DRG ) - data is classified for internal and external statistical reporting, ... and/or encoder, coding manuals and other reference material. 3. Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes… more
    Hartford HealthCare (01/20/25)
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  • Inpatient Coder 2 Certified / HIM Coding

    Hartford HealthCare (Newington, CT)
    …alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS- DRG ). Data is classified for internal and external statistical reporting, ... and/or encoder, coding manuals and other reference material. 3. Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes… more
    Hartford HealthCare (01/16/25)
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  • Remote Inpatient Coder Team Lead

    TEKsystems (Jacksonville, FL)
    …assignment of alpha numeric diagnosis/procedure codes and Diagnosis Related Groups ( DRG ) - data is classified for internal and external statistical reporting, ... and comorbidity Conditions (CC/MCC), Medicare Severity Diagnosis Related group (MS- DRG ) structure, and Present on Admission (POA) indicators. + Experience… more
    TEKsystems (01/11/25)
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