- Elevance Health (Chicago, IL)
- ** DRG Coding Auditor (DIAGNOSTIC...medical-expense spending. The ** DRG Coding Auditor ** is responsible for auditing inpatient medical ... DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending...Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient… 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 ... Conducting quality and DRG payment reviews for inpatient services to ensure accurate coding and...charge capture issues + Providing feedback and training to inpatient coding staff on best practices +… 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 ... documentation + Assists with writing compelling appeals to all DRG denials from outside agencies referencing Official Coding...RHIT, or CCS certification or credential **Job Summary:** The Inpatient Coding Auditor , under general… more
- Nuvance Health (Danbury, CT)
- …Officer (SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor providesHospital Inpatient and Outpatient coding , billing, and ... as all coding Federal, State, and third party payer guidelines. Conducts inpatient and/or outpatient coding audits and provides educational programs based on… 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
- AdventHealth (Altamonte Springs, FL)
- …**Remote** **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of ... . Expert level knowledge of Medicare Severity Diagnosis-Related Groups (MS- DRG ), and All Patient Refined Diagnosis-Related Groups (APR ...Five (5) years of inpatient or outpatient coding or Coding Quality Auditor … 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
- R1 RCM (Chicago, IL)
- …flows while reducing operating costs and enhancing the patient experience. As our Inpatient Production Auditor , you will be responsible for auditing inpatient ... you must be detail-oriented and flexible in a work environment. **RESPONSIBILITIES** + Audit inpatient cases for DRG validation + Review 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
- Elevance Health (Morristown, NJ)
- …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical...Experience with third party DRG Coding and/or Clinical Validation Audits or… more
- UPMC (Pittsburgh, PA)
- …Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M ... auditing and compliance. + Extensive knowledge of CMS, and third-party payer coding , billing, and documentation compliance regulations required (MS- DRG , APR-… more
- Prime Healthcare (Ontario, CA)
- …Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Inpatient Coder Auditor Trainee finalizes the coding and abstracting ... Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The Inpatient Coder Auditor Trainee reviews and… more
- The Arora Group (Hampton, VA)
- …and Management (E&M) Auditor Certification. + Possess either the Certified Inpatient Coder (CIC) or the Certified Coding Specialist (CCS). This will ... Medical Coder- Inpatient Admin Currently recruiting an ON-SITE Medical Coder-...Monday-Friday, 8 hours shifts between 7:30am and 4:30pm. TELEWORK CODING IS NOT AN OPTION. DUTIES OF THE MEDICAL… 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 ... Healthcare Administration, or related healthcare field. **Required Experience:** Five years of inpatient /outpatient coding to include two years of coding … more
- TEKsystems (Baltimore, MD)
- …Assigns the appropriate APR/ DRG . + Is familiar with and follows the Coding Compliance plan. + Abstracts predetermined information from inpatient , day surg, ... 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
- SSM Health (MO)
- …review group ( DRG ) frequency. + Serves as a liaison between coding staff and physicians as appropriate. Identifies and initiates opportunities for new program ... in Nursing preferred. + Three - five years acute inpatient care experience preferred. + Mortality and PSI review...vital member of the interdisciplinary care team member, an auditor , and an educator ensuring medical records are complete… more
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