- HCA Healthcare (Nashville, TN)
- …with purpose and integrity. We care like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **Benefits** Parallon offers a ... Today! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews on… more
- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. The work authorization is not specified and the ... of understanding of reimbursement guidelines specifically an understanding of the MS- DRG , AP- DRG , and APR- DRG payment systems. This position is responsible… more
- Elevance Health (Grand Prairie, TX)
- …the Possibilities. Make an Extraordinary Impact.** **Title** : Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG and APR- ... considered if candidates reside within a commuting distance from an office.** The ** DRG Coding Auditor ** is responsible for auditing inpatient medical records… more
- Elevance Health (Seattle, WA)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work ... as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient...as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or… more
- Elevance Health (Roanoke, VA)
- ** DRG Coding Auditor Principal** **_Virtual: _**...: + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG Coding Auditor Principal** is responsible for auditing inpatient… more
- Community Health Systems (Franklin, TN)
- …**Essential Functions** + Performs inpatient denial reviews using ICD-10-CM/PCS and DRG validation utilizing appropriate coding references for CHS hospitals ... **Job Summary** The DRG Denials Auditor conducts hospital inpatient...supporting documentation. + Utilizes hospital abstracting system for coding validation when applicable with access to the 3M encoder.… more
- Insight Global (Plano, TX)
- …The DRG Revenue Integrity Auditor will perform Diagnostic Related Group ( DRG ) validation and quality audits on inpatient charts to ensure accurate coding ... years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN or BSN RHIT or… more
- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/ validation processes to ensure that medical record ... is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require interpretation and… more
- Northwell Health (Glen Cove, NY)
- …Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates ... and State regulations. 5.Applies coding rules and regulations to the validation review process. 6.Reviews codes on Medicare/non-Medicare charts for compliance to… more
- St. Luke's University Health Network (Allentown, PA)
- …reviews for clinical validation of diagnosis and procedure code assignment and MS- DRG /APR- DRG accuracy based on denials or audit findings from government and ... all diagnosis and procedure codes to assure properly assigned MS- DRG or APR- DRG for the purpose of...coding professionals and be able to refute the clinical validation or coding determination made by the government or… more