- Elevance Health (Indianapolis, IN)
- ** DRG (DIAGNOSTIC RELATED GROUP) CODING AUDITOR ** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will live ... PulsePoint locations. The **DIAGNOSTIC RELATED GROUP CODING AUDITOR ** is responsible for auditing inpatient medical... DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending… more
- TEKsystems (Dallas, TX)
- Description: Coding Auditor - * Coding audits...the physician order to book the surgery. * Pre-service DRG review - review inpatient cases prior to ... the coding by the vendors for both inpatient and outpatient surgical cases. Provide correct codes when...date of admission to identify comorbidities that may affect DRG assignment. Additional Skills & Qualifications: Required CPMA, CIC,… more
- R1 RCM (Boise, ID)
- As the Inpatient Coding and Documentation Auditor I, your primary role will be auditing inpatient cases for DRG validation and/or documentation ... accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. Everyday...and DRG reimbursement experience, with recent acute inpatient coding experience For this US-based position,… more
- R1 RCM (Detroit, MI)
- …cycle - one that promotes patient satisfaction and improves financial performance. As the Inpatient Coding and Documentation Auditor II, your primary role ... will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of reviewing...accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. Every… more
- AdventHealth (Tampa, FL)
- …Stroke Association as a Primary Stroke Center. **The role you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the ... is responsible for the daily auditing of records. The Inpatient Coding Quality Auditor works...you'll bring to the team:** . Reviews records for DRG and overall coding accuracy retrospectively and… 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
- Hackensack Meridian Health (Hackensack, NJ)
- …the 3M coding computer system. + Assists and provides feedback to the Inpatient HIM Supervisor and Inpatient Coding Manager with education sessions for ... and serve as a leader of positive change. The ** Coding Quality Auditor ** is responsible for monitoring...Attends monthly coding in-services provided by the Inpatient Coding Educator. + Assists the … more
- Houston Methodist (Austin, 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
- The Mount Sinai Health System (New York, NY)
- …beyond what is found in the medical record. 7. Performs data quality reviews on inpatient records to validate the ICD-9-CM codes, MS- DRG or AP- DRG , APR- ... review denials and coordinate the appeal process. As front-line auditor , reviews cases denied and renders determinations whether or...10 years experience, to include 3+ years of medical/surgical coding and 3+ years of DRG appeal.… 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. ... RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical.** Validates Acute Inpatient … 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
- Medical Mutual of Ohio (OH)
- …DRG ,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** **Clinical Auditor ** + **Audits outpatient, inpatient and professional ... staff.** + **Performs other duties as assigned.** **Sr Clinical Auditor ** + **Audits outpatient, inpatient and professional...inpatient and professional claims from a clinical and coding perspective applying coding guidelines and edits.… more
- Elevance Health (Columbus, OH)
- …(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
- 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
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