- 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 ... the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and...an acute care setting. + Previous experience in performing DRG coding audits. + Possesses knowledge of… more
- Humana (Columbus, OH)
- …of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG) The Inpatient Medical ... caring community and help us put health first The Inpatient Medical Coding Auditor extracts...least one of these qualifications for 4 years) * MS- DRG coding /auditing experience * Minimum of 1… more
- AdventHealth (Maitland, FL)
- ** Coding Auditor Inpatient ** **- Virtual** **Work Hours/Shift:** + Full Time Virtual **You Will Be Responsible For:** + Performs quality reviews on coded ... documentation + Assists with writing compelling appeals to all DRG denials from outside agencies referencing Official Coding...certification with required years of experience **Job Summary:** The Inpatient Coding Auditor , under general… 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
- AdventHealth (Altamonte Springs, FL)
- …**Remote** **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of ... . Expert level knowledge of Medicare Severity Diagnosis-Related Groups (MS- DRG ), and All Patient Refined Diagnosis-Related Groups (APR ...Five (5) years of inpatient or outpatient coding or Coding Quality Auditor … more
- Houston Methodist (Houston, 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
- 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
- The Cigna Group (Bloomfield, CT)
- **The DRG Auditor performs an in-depth review of the medical record to evaluate the diagnostic and procedural information in the record and validates accurate ... Coding Certificate - must have experience in DRG coding using ICD-10 coding ...to data security and HIPAA confidentiality procedures;** **Knowledge of Inpatient coding guidelines and practices.** **Effective written… 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
- Elevance Health (Atlanta, GA)
- …(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
- TEKsystems (Waco, TX)
- …applicable local, state and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist serves as an internal auditor and educates on ... Description Job Summary: The Inpatient Coding Denials Specialist is a...the denial/downgrade * Explanation of Benefits/Remittance Advice * Payer denial/ DRG downgrade letters * Complex NCD/LCD guidelines, CMS/AHCA policies… more
- UPMC (Pittsburgh, PA)
- …Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M ... auditing and compliance. + Extensive knowledge of CMS, and third-party payer coding , billing, and documentation compliance regulations required (MS- DRG , APR-… more
- TEKsystems (Austin, TX)
- …applicable local, state and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist serves as an internal auditor and educates on ... Job Summary: The Inpatient Coding Denials Specialist is a...the denial/downgrade * Explanation of Benefits/Remittance Advice * Payer denial/ DRG downgrade letters * Complex NCD/LCD guidelines, CMS/AHCA policies… more
- Veterans Affairs, Veterans Health Administration (IN)
- …codes, MS- DRG , POA status, and discharge disposition values for inpatient health records. Audit accurate and complete assignment of ICD-10-CM, CPT, and ... Information Management (HIM) section at the Miami VA Medical Center. MRTs (Coder/ Auditor ) are skilled in classifying medical data from patient health records in… more
- HCA Healthcare (Nashville, TN)
- …us reach our goals. Unlock your potential! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for performing internal ... of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs + Assists in ensuring… more
- The Arora Group (Hampton, VA)
- …and Management (E&M) Auditor Certification. + Possess either the Certified Inpatient Coder (CIC) or the Certified Coding Specialist (CCS). This will ... Medical Coder- Inpatient Admin Currently recruiting an ON-SITE Medical Coder-...Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT). +… 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