• DRG Auditor

    TEKsystems (Virginia Beach, VA)
    DRG Auditor (CCS) Location: Fully remote -...stable and reputable company Qualifications: . 3+ years of DRG coding / inpatient coding experience ... Active CCS / RHIA/RHIT preferred Necessary Skills: DRG | 3M | Inpatient Coding Additional Skills & Qualifications: Academic hospital experience High acuity… more
    TEKsystems (11/21/24)
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  • Inpatient Coding Auditor

    AdventHealth (Maitland, FL)
    ** Coding Auditor Inpatient ** **Work Hours/Shift:** + Full Time Remote **You Will Be Responsible For:** + Performs quality reviews on coded records to ... 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
    AdventHealth (11/07/24)
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  • Senior Compliance Coding Auditor

    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
    Nuvance Health (10/29/24)
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  • DRG Auditor

    TEKsystems (Atlanta, GA)
    …diagnosis and procedure coding , DRG assignment, and abstracted data Skills: Inpatient Coding , CCS, DRG , Epic, 3M Additional Skills & Qualifications: ... Description: Reviews inpatient medical records for select payer populations post-discharge...High acuity experience Trauma experience Rehab and LTAC experience Inpatient audit experience Experience Level: Entry Level About TEKsystems:… more
    TEKsystems (11/21/24)
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  • A**Divisional Coding Quality Auditor

    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
    AdventHealth (10/24/24)
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  • Coding Quality Auditor

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding / DRG requests. Responds promptly to Business Office requests to code… more
    Houston Methodist (11/19/24)
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  • Coding Auditor Educator

    Highmark Health (Columbus, OH)
    …HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. Reports findings both ... or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned...In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG /APC… more
    Highmark Health (11/20/24)
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  • Coding Denial Auditor

    R1 RCM (Boise, ID)
    …and a high accuracy rate in accordance with established auditing standards + Serves as an inpatient coding expert & resource for the coding teams and other ... reducing operating costs and enhancing the patient experience. The Coding Denial Auditor will be responsible for...+ A minimum of seven (7) years of hospital inpatient coding experience is required + Extensive… more
    R1 RCM (11/21/24)
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  • Certified Coding Specialist (CCS)…

    R1 RCM (Detroit, MI)
    …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
    R1 RCM (11/05/24)
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  • Registered Nurse Coding Auditor

    Northwell Health (Port Jefferson, NY)
    …6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the coding and CDI staff. ... **Req Number** 141366 Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information...Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code… more
    Northwell Health (11/14/24)
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  • Diagnosis Related Group Auditor

    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
    Hackensack Meridian Health (09/06/24)
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  • Diagnosis Related Group Clinical Validation…

    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
    Elevance Health (11/08/24)
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  • Compliance Auditor , Intermediate (Hybrid…

    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
    UPMC (10/11/24)
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  • Medical Coder- Inpatient

    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
    The Arora Group (11/08/24)
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  • Coding Training Coordinator - Apprentice…

    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
    MD Anderson Cancer Center (10/03/24)
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