- Emory Healthcare/Emory University (Atlanta, GA)
- …development, leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient ... coding ICD-10 in an acute care setting. + Previous experience in performing DRG coding audits. + Possesses knowledge of DRG and grouping methodologies (MS… 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
- 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… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...least one of these qualifications for 4 years) * MS- DRG coding /auditing experience * Minimum of 1… more
- Houston Methodist (Miami, FL)
- ** Coding Quality Auditor - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)** At Houston Methodist, the Coding Quality Auditor position is ... **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding / DRG requests. Responds promptly to Business Office requests to code… 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...Coding references will be used to ensure accurate coding and grouping of classification assignment (eg, MS- DRG… more
- AdventHealth (Altamonte Springs, FL)
- …**Monday-Friday** **Remote** **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the ... . Expert level knowledge of Medicare Severity Diagnosis-Related Groups (MS- DRG ), and All Patient Refined Diagnosis-Related Groups (APR ...REQUIRED:** . Five (5) years of inpatient or outpatient coding or Coding Quality Auditor … 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 ... CIC certification with required years of experience **Job Summary:** The Inpatient Coding Auditor , under general supervision, is responsible for validating the… more
- Nuvance Health (Danbury, CT)
- …Officer (SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor providesHospital Inpatient and Outpatient coding , billing, and documentation ... advanced expertise in regards to medical terminology, anatomy, physiology, documentation, coding guidelines, state and federal regulations. Works closely with all… 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 ... focus and application of positive language principles + Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and … more
- The Cigna Group (Bloomfield, CT)
- **The DRG Auditor performs an in-depth review of... Coding Certificate - must have experience in DRG coding using ICD-10 coding system ... the diagnostic and procedural information in the record and validates accurate coding classification for the DRG assignment for reimbursement of services… more
- Elevance Health (FL)
- … Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement ... **Diagnosis Related Group Clinical Validation Auditor -** **Registered Nurse** **Location:** This position will work...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
- UPMC (Pittsburgh, PA)
- …auditing and compliance. + Extensive knowledge of CMS, and third-party payer coding , billing, and documentation compliance regulations required (MS- DRG , APR- ... APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …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 taking corrective action. Specific role duties + Accurate charge capture, primary coding changes liaison + Build and charge appropriately in epic for all… 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 ... and the public. **S** **ummary** The primary purpose of the Coordinator, Coding Training position is: Facilitate training and auditing services for specific … more
- HCA Healthcare (Nashville, TN)
- …our goals. Unlock your potential! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for performing internal quality ... over 156,000 hours volunteering in our communities. As a Coding Quality Audit Reviewer with Work from Home you...organization that is devoted to giving back! **Must have DRG Validation/Auditing Experience** **Benefits** Work from Home, offers a… more
- TEKsystems (Waco, TX)
- …of all applicable local, state and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist serves as an internal auditor and educates on ... Job Summary: The Inpatient Coding Denials Specialist is a high-level coding...the denial/downgrade * Explanation of Benefits/Remittance Advice * Payer denial/ DRG downgrade letters * Complex NCD/LCD guidelines, CMS/AHCA policies… more
- R1 RCM (Salt Lake City, UT)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse** , you will help review and interpret medical ... day you will review medical records to ensure appropriate coding of removed or revised diagnosis and procedure codes....underpaid claims. + Apply clinical judgment and knowledge for DRG downgrades performed because of a Clinical Validation Review… more
- Scottish Rite for Children (Dallas, TX)
- …education with physicians, fellows, residents, allied health staff and working closely with Internal Coding Auditor and HIM coding staff + Collaborates with ... and documentation improvement opportunities for provider education. + Identifies and escalates coding issues and in recommending coding workflow solutions to… more
- The Arora Group (Hampton, VA)
- …Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT). + The ... or other facility business functions in compiling, analyzing, and reporting coding data for performance purposes. QUALIFICATIONS OF THE MEDICAL CODER-INPATIENT: +… more