- UNC Health (Chapel Hill, NC)
- …Abilities Requirements: * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG , hierarchical condition categories (HCC), and CDI ... job description and applying promptly. This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship, development, leadership programs and more! **Description** We are seeking an experienced ** Inpatient DRG Coding Auditor ** to extract data ... the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and...an acute care setting. + Previous experience in performing DRG coding audits. + Possesses knowledge of… more
- Elevance Health (Chicago, IL)
- ** DRG Coding Auditor Principal**...medical-expense spending. The ** DRG Coding Auditor Principal** is responsible for auditing inpatient ... of business, and its clients. Specializes in review of DRG coding via medical record and attending...a Registered Health Information Technician, CCS as a Certified Coding Specialist, CIC as a Certified Inpatient … more
- Elevance Health (Ashburn, VA)
- …a commuting distance from an office.** The ** DRG Coding Auditor ** is responsible for auditing inpatient medical records and generating high quality ... **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-...Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient… more
- University of Utah Health (Salt Lake City, UT)
- …by participating in the CDI query audit process. + Works effectively with the Coding Manager to improve Inpatient coding accuracy. **Knowledge / Skills ... EO/AA_ This position audits the accuracy and completeness of diagnosis and procedure coding , DRG assignment, and abstracted data to support that appropriate… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for ... discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible...coding practices and compliance. **Essential Functions** + Performs inpatient denial reviews using ICD-10-CM/PCS and DRG … more
- Elevance Health (Indianapolis, IN)
- …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical...Experience with third party DRG Coding and/or Clinical Validation Audits or… more
- Insight Global (South Jordan, UT)
- … knowledge ( DRG & ICD-10) Registered Nurse RN (must be inpatient ) WITH coding /clinical documentation certification (2 years in clinical documentation) OR ... Job Description Insight Global is seeking a DRG Validation Auditor for one of...extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level… more
- Humana (Columbus, OH)
- …of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical ... caring community and help us put health first** The Inpatient Medical Coding Auditor extracts...least one of these qualifications for 4 years) * MS- DRG coding /auditing experience * Experience reading and… 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 ... reflect the patient's clinical picture. Utilize ICD-10-CM and ICD-10-PCS coding systems to ensure proper code sequencing and accuracy....acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS).… more
- HCA Healthcare (Nashville, TN)
- …organizations. Apply Today! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing ... We care like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **Benefits**...(routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs… more
- Sharp HealthCare (San Diego, CA)
- …practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's ... Qualifications** + Other : Strong background in in ICD-10-CM/PCS coding , DRG coding and CPT... ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of… more
- Houston Methodist (Katy, 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
- Datavant (Dover, DE)
- …and leadership skills **What You Need to Succeed:** + 5+ years of facility inpatient coding experience and/or auditing. + CCS (preferred), RHIA or RHIT preferred ... your own workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope...of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR… more
- Northwell Health (Garden City, 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** 172127 Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by… more
- Prime Healthcare (Ontario, CA)
- …Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Inpatient Coder Auditor Trainee finalizes the coding and abstracting ... new members to join our corporate team! Responsibilities The Inpatient Coder Auditor Trainee reviews and analyzes...documentation of the respective medial record. Holding a senior coding position, assumes primary responsibility for DRG … more
- St. Luke's University Health Network (Allentown, PA)
- …assigned MS- DRG or APR- DRG for the purpose of appealing proposed DRG and coding changes by insurance providers or their respective auditors JOB DUTIES ... RAC/MIC/QIO and other governmental or commercial payor auditors in retrospective reviews for DRG and documentation or coding -related issues. + Develop and apply… more
- Datavant (Honolulu, HI)
- …schedule, allowing you to help shape the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma Level 1 ... SMART software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and… more
- Houston Methodist (Houston, TX)
- …(for inpatient /outpatient coding ) coding classification systems + For inpatient /outpatient coding : MS- DRG , APR DRG and APC assignment systems ... professional teaching/training experience **LICENSES AND CERTIFICATIONS - REQUIRED** + For inpatient /outpatient coding : RHIT, RHIA, or CCS certification from… more
- Texas Health Resources (Arlington, TX)
- …procedures. Coding & Documentation Review - Assist the audit team with inpatient , outpatient, and provider coding assessments to ensure assigned codes are ... to analyze data, identify trends, and recommend solutions for complex compliance and coding challenges. Extensive knowledge of MS DRG , APC, ICD-10-CM/PCS, CPT,… more
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