- TEKsystems (Dallas, TX)
- …correct codes have been used on the physician order to book the surgery. * Pre-service DRG review - review inpatient cases prior to date of admission to identify ... Description: Coding Auditor - * Coding audits - audit the coding by the vendors for both inpatient and outpatient surgical cases. Provide correct codes when there… more
- R1 RCM (Detroit, MI)
- …Coding and Documentation Auditor II, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of ... accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. Every...Every day in this role you will: . Review inpatient medical records for validation of DRG … more
- R1 RCM (Boise, ID)
- …Coding and Documentation Auditor I, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of ... accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. Everyday...role. Everyday in this role you will: + Review inpatient medical records for validation of DRG … 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 in collaboration...you'll bring to the team:** . Reviews records for DRG and overall coding accuracy retrospectively and concurrently as… more
- Nuvance Health (Danbury, CT)
- …Special Associate Compliance Officer (SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor providesHospital Inpatient and Outpatient ... as all coding Federal, State, and third party payer guidelines. Conducts inpatient and/or outpatient coding audits and provides educational programs based on… 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- ... **JOB DESCRIPTION** The DRG Appeals Analyst - CDI Liaison is responsible...review denials and coordinate the appeal process. As front-line auditor , reviews cases denied and renders determinations whether or… more
- Hackensack Meridian Health (Hackensack, NJ)
- …this includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency ... a leader of positive change. The **Diagnosis Related Group ( DRG ) Auditor ** is responsible for auditing clinical...the current Office of Inspector General work plans for DRG risks. + Monitors inpatient case mix… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and serve as a leader of positive change. The **Coding Quality Auditor ** is responsible for monitoring compliance with applicable clinical documentation to support ... **Responsibilities** A day in the life of an **Coding Quality Auditor ** at **Hackensack Meridian** **_Health_** includes: + Reviews Diagnosis Related Group… more
- Elevance Health (Denver, CO)
- …of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor ** **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
- Medical Mutual of Ohio (OH)
- …DRG ,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** **Clinical Auditor ** + **Audits outpatient, inpatient and professional ... with payment recovery staff.** + **Performs other duties as assigned.** **Sr Clinical Auditor ** + **Audits outpatient, inpatient and professional claims from a… 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 ... inpatient encounters based upon documentation within the electronic medical...FUNCTIONS** + Responds promptly to internal and external customer coding/ DRG requests. Responds promptly to Business Office requests to… more
- Northwell Health (Garden City, NY)
- …Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical.** Validates Acute Inpatient coded charts to ensure the diagnostic information leading ... Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates… more
- Texas Health Resources (Arlington, TX)
- …CCS - Certified Coding Specialist upon hire **REQUIRED** Other CIC (Certified Inpatient Coder), CMA (Certified Medical Auditor ) upon hire **REQUIRED** **Skills** ... management of NCCI/OCE billing edits). Knowledgeable in APC and DRG methodologies and all regulatory/payer requirements associated with coding. Demonstrated… 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 ... other departmental users 14. Ability to cover for other trainer(s) and/or auditor (s) 15. All other assigned duties **Working Conditions** This position requires:… more