- Elevance Health (Chicago, IL)
- ** DRG Coding Auditor (DIAGNOSTIC RELATED GROUP)** _This position will work virtually._ _Alternate locations may be considered._ _The Ideal candidate must ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG Coding Auditor ** is responsible for auditing inpatient medical… 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
- 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 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
- 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 ... providing education via both written and oral presentations. The Coding Auditor 2 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
- 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 ... compliance with Federal and State regulations. Reporting to the Director of Medical Coding , your role will involve evaluating coding accuracy for inpatient… 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 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
- R1 RCM (Chicago, IL)
- …operating costs and enhancing the patient experience. As our Inpatient Production Auditor , you will be responsible for auditing inpatient cases and reviewing ... for the validation process while evaluating claim reimbursement potential based on coding assignment. To thrive you must be detail-oriented and flexible in a… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday - ... Steel Tower, however, this role may work remotely. The Intermediate Clinical Auditor /Analyst is an integral part of the Quality Assurance and Operational Integrity… more
- Elevance Health (Morristown, NJ)
- … 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 -RN** **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
- 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
- Prime Healthcare (Ontario, CA)
- …assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Inpatient Coder Auditor Trainee finalizes the ... the clinical documentation of the respective medial record. Holding a senior coding position, assumes primary responsibility for DRG validation/accuracy, primary… 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
- R1 RCM (Chicago, IL)
- …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
- The Arora Group (Hampton, VA)
- …full-time position is Monday-Friday, 8 hours shifts between 7:30am and 4:30pm. TELEWORK CODING IS NOT AN OPTION. DUTIES OF THE MEDICAL CODER-INPATIENT: + Have ... Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT). + The… more
- TEKsystems (Baltimore, MD)
- …the appropriate APR/ DRG . + Is familiar with and follows the Coding Compliance plan. + Abstracts predetermined information from inpatient, day surg, ER, and ... Off/Leave (PTO, Vacation or Sick Leave) Requirements: + 2-4 years experience in Medical Coding (either in-patient or facility) + Diploma or GED required + Must have… more
- University of Rochester (Rochester, NY)
- …with project management preferred. + Prior experience with APG, APC, and/or DRG coding methodologies preferred. + Prior experience with professional billing ... issues and Medicare and Medicaid requirements. Acts as a resource on billing, coding and complex reimbursement issues to Medical Center personnel on a daily basis.… more