- Elevance Health (Mason, OH)
- …eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on ... DRG Coding Auditor Principal ** Virtual:...determinations and generate audit findings letters. Validates accuracy and quality standards as set by audit management for the… more
- Elevance Health (Mason, OH)
- …eliminate and prevent unnecessary medical-expense spending. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating ... DRG CODING AUDITOR Virtual **_: _**...determinations and generate audit findings letters. Maintains accuracy and quality standards as set by audit management for the… more
- UnitedHealth Group (Minneapolis, MN)
- …to start Caring. Connecting. Growing together . In this position as a Coding & Clinical Auditor / DRG Specialist RN , you will apply your expert knowledge of the ... MS- DRG and APR- DRG coding/reimbursement methodology systems, ICD-10...and AHA Coding Clinic Guidelines in the auditing of inpatient claims. Employing both industry and Optum proprietary tools,… more
- Datavant (Little Rock, AR)
- …life experiences to realize our bold vision for healthcare. As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and educational ... needs related to coding quality , compliance assessments, external payer reviews, coding education, and...from your own workspace! What You Will Do: Performs Inpatient Facility coding audits according to scope of work,… more
- Datavant (Phoenix, AZ)
- …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 ... work functions and decision-making. Demonstrate strong organizational, teamwork, and leadership skills. Inpatient auditor with 3-5 years of experience at a… 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 from ... encounters ensuring the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits… 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 virtually ... required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
- University of Michigan (Ann Arbor, MI)
- DRG COMPLIANCE AUDITOR (DCA) **Early Site Maintenance** We are performing updates and maintenance to our applicant experience. As a result, the site will be ... submitted. Apply Now **Job Summary** Review and check certain inpatient records to make sure the coding is correct...employer. **Job Detail** **Job Opening ID** 271520 **Working Title** DRG COMPLIANCE AUDITOR (DCA) **Job Title** Medical… 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 ... and APR- DRG payment systems. This position is responsible for auditing inpatient medical records and generating high- quality recoverable claims for the… 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 ... to improve coding practices and compliance. **Essential Functions** + Performs inpatient denial reviews using ICD-10-CM/PCS and DRG validation utilizing… 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 ... more 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… more
- 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 total ... **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible...Auditor , you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center… more
- University of Utah Health (Salt Lake City, UT)
- …are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA_ This ... position audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate reimbursement and… more
- Highmark Health (Harrisburg, PA)
- …techniques, medical terminology and disease processes as it relates to the DRG /APC and other clinical data quality management factors. With technical ... :** Allegheny Health Network **Job Description :** **_*This role will cover Inpatient Auditors and will require Inpatient (AHIMA) credentials._** **GENERAL… more
- Baylor Scott & White Health (Dallas, TX)
- **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 of Disease (ICD-10-CM/PCS),...ensure accurate coding and grouping of classification assignment (eg, MS- DRG , APR- DRG , APC etc.) **ESSENTIAL FUNCTIONS OF… more
- Datavant (Dover, DE)
- …life experiences to realize our bold vision for healthcare. As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and educational ... needs related to coding quality , compliance assessments, external payer reviews, coding education, and...your own workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work,… more
- Houston Methodist (WA)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... co-morbid conditions and complications, secondary conditions and procedures. + Assists with quality reviews of outpatient or inpatient accounts and/or training… more
- Sharp HealthCare (San Diego, CA)
- …*This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance ... audit program. The position provides oversight and maintenance of a high- quality , effective, best practices coding, billing, and reimbursement audit compliance… more
- Humana (Springfield, IL)
- …neonatal). For example: ICU, CCU, PCU, med-surg/adult units or a minimum of 2 years DRG Inpatient auditing. NOTE: Inpatient experience does **not** refer to ... Inpatient coding claim experience + Prospective payment methodologies, DRG auditing experience + Clinical documentation improvement knowledge (CDE, CDEI… more
- UNC Health Care (Chapel Hill, NC)
- …the unique communities we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities ... position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity...and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and… more
