- Emory Healthcare/Emory University (Atlanta, GA)
- …development, leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient ... coding ICD-10 in an acute care setting. + Previous experience in performing DRG coding audits. + Possesses knowledge of DRG and grouping methodologies (MS… more
- University of Utah Health (Salt Lake City, UT)
- …EO/AA_ This position audits the accuracy and completeness of diagnosis and procedure coding , DRG assignment, and abstracted data to support that appropriate ... pre-bill, audits the accuracy and completeness of diagnoses, procedure coding , abstracted data and DRG assignment. +...of diagnoses, procedure coding , abstracted data and DRG assignment. + Reviews non-CC/MCC records to determine if… 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
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** We are looking for a Revenue Integrity DRG Auditor who has a comprehensive understanding of hospital Revenue Cycle Management. ... Significant experience in the following areas: hospital inpatient coding , DRG assignment, charge capture, and hospital reimbursement methodologies. The candidate… more
- TEKsystems (Atlanta, GA)
- …which will require them to pass an EPIC assessment. Afterwards, they will work with the DRG Auditor and Coding Manager via Zoom to go over the system ... *This position requires a 2 hour long inpatient coding assessment, you will NEED you own encoder...purposes. - Will not query if it doesn't effect DRG or if CDI does a query, but they… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...least one of these qualifications for 4 years) * MS- DRG coding /auditing experience * Minimum of 1… more
- Highmark Health (Harrisburg, PA)
- …HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. Reports findings both ... Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician...In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG /APC… more
- Houston Methodist (Miami, FL)
- ** 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
- R1 RCM (Chicago, IL)
- …cash flows while reducing operating costs and enhancing the patient experience. The Coding Denial Auditor will be responsible for reviewing denial coded cases ... for coding completeness and accuracy. This person will identify potential coding and DRG errors, researches appropriate guidelines to support recommended… 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
- PeaceHealth (Vancouver, WA)
- **Description** **PeaceHealth is seeking a full time Coding Auditor Educator - Hospital Coding . This remote role requires the incumbent to reside in OR, WA, ... Coder - Hospital required. **Additional Skills:** + Knowledge including ICD-10, MS- DRG /APR- DRG methodology, HCPCS/CPT coding , regulatory policies from… more
- Nuvance Health (Danbury, CT)
- …Officer (SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor providesHospital Inpatient and Outpatient coding , billing, and documentation ... advanced expertise in regards to medical terminology, anatomy, physiology, documentation, coding guidelines, state and federal regulations. Works closely with all… 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 Apprentice position is responsible ... focus and application of positive language principles + Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and … more
- AdventHealth (Orlando, FL)
- …timely clinical documentation. . Assists with writing compelling appeals to all DRG denials from outside agencies referencing Official Coding Guidelines and ... Coding Clinic advice as appropriate to defend the DRG assignment and protect the organization's reimbursement. . Serves as a resource to other departments in the… more
- Elevance Health (Columbus, GA)
- … Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
- UPMC (Pittsburgh, PA)
- …auditing and compliance. + Extensive knowledge of CMS, and third-party payer coding , billing, and documentation compliance regulations required (MS- DRG , APR- ... APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …general nature, level and purpose of the job. The Senior Charge Capture Auditor works closely with clinical departments to ensure compliance with government, payer, ... and taking corrective action. Specific role duties + Accurate charge capture, primary coding changes liaison + Build and charge appropriately in epic for all… more
- Texas Health Resources (Arlington, TX)
- …in APC and DRG methodologies and all regulatory/payer requirements associated with coding . Demonstrated knowledge of an ability to apply THR coding policies ... ** Coding Quality/Education Inpatient Analyst** _Are you looking for...**REQUIRED** Other CIC (Certified Inpatient Coder), CMA (Certified Medical Auditor ) upon hire **REQUIRED** **Skills** Proficient in software applications… 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 ... and the public. **S** **ummary** The primary purpose of the Coordinator, Coding Training position is: Facilitate training and auditing services for specific … more
- HCA Healthcare (Nashville, TN)
- …our goals. Unlock your potential! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for performing internal quality ... over 156,000 hours volunteering in our communities. As a Coding Quality Audit Reviewer with Work from Home you...organization that is devoted to giving back! **Must have DRG Validation/Auditing Experience** **Benefits** Work from Home, offers a… more