- University Health (San Antonio, TX)
- …a Certified Professional Coder (CPC) and Certified Professional Medical Record Auditor (CMPA), Certified Coding Specialist (CCS), Registered Health Information ... accuracy and compliance in coding practices. A strong understanding of reimbursement methodologies, including DRG , APC, and ASC payment structures, is preferred. more
- University Health (San Antonio, TX)
- …(ie, CHC, CIA, CPA, CFE). Preference will be given to a Certified Internal Auditor with AHIMA Coding Certification. Expert knowledge of ICD, CPT, HCPCS ... coding classifications and DRG , APC, and ASC payment methodology is highly desirable. more
- Elevance Health (Chicago, IL)
- ** DRG Coding Auditor Principal** **_Virtual: _** _ _ This role enables associates to work virtually full-time, with the exception of required in-person ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG Coding Auditor Principal** is responsible for auditing inpatient… more
- Elevance Health (Ashburn, VA)
- …unnecessary medical-expense spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS- DRG , AP- ... if candidates reside within a commuting distance from an office.** The ** DRG Coding Auditor ** is responsible for auditing inpatient medical records and… more
- 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
- Elevance Health (Indianapolis, IN)
- … Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement ... **Title:** Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG ...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… 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 ... accuracy in ICD-10-CM/PCS coding , DRG assignments, and supporting clinical documentation....discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible… 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. This person should have an extensive background in ... reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Below are the key responsibilities for this role:… more
- Insight Global (Plano, TX)
- …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 ... Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic...and quality audits on inpatient charts to ensure accurate coding and compliance with federal regulations. This is a… more
- HCA Healthcare (Nashville, TN)
- …Apply Today! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... We care like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **Benefits**...vary by location._** Come join our team as a Coding Quality Audit Reviewer. We care for our community!… 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 * Experience reading and… 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
- UNC Health Care (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 ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may...and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and… 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. ... Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Hybrid or Remote Job… more
- Geisinger (Danville, PA)
- …audits, monitoring, and provides compliance education for facility and professional documentation, coding , and billing. The Senior Compliance Auditor serves as a ... Job Summary The Senior Compliance Auditor ensures the integrity and accuracy of facility...on the adequacy of medical record documentation to support coding ( DRG , CPT, ICD 10) and billing… more
- Stanford Health Care (Palo Alto, CA)
- …is a Stanford Health Care job.** **A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require extensive research, ... interpretation and application of laws and regulations. Charge Auditor evaluates the adequacy and effectiveness of internal and operational controls designed to… more
- Datavant (Dover, DE)
- …Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. + Provides rich and ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- US Tech Solutions (Columbia, SC)
- … reviews and audits. + Performs validation reviews of Diagnosis Related Groups ( DRG ), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in ... and quarterly reports outlining trends. + Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare… more
