- University Health (San Antonio, TX)
- …accuracy and compliance in coding practices. A strong understanding of reimbursement methodologies, including DRG , APC, and ASC payment structures, is preferred. ... Plan. This position is responsible for conducting complex audits of medical coding , billing, and documentation practices to ensure adherence to federal and state… more
- Elevance Health (Hanover, MD)
- Manager of DRG Coding Audit -Program/Project Locations: _The selected candidate must reside within a reasonable commuting distance of the designated ... eliminate and prevent unnecessary medical-expense spending. The ** Manager of DRG Coding Audit ** leads a high-performing team responsible for auditing… more
- Elevance Health (Roanoke, VA)
- …be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you will make an ... : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Norfolk, VA)
- …Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital ... ** DRG CODING AUDITOR** **_Virtual_** **_: _**...clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding… more
- University of Utah Health (Salt Lake City, UT)
- …by participating in the CDI query audit process. + Works effectively with the Coding Manager to improve Inpatient coding accuracy. **Knowledge / Skills / ... position audits the accuracy and completeness of diagnosis and procedure coding , DRG assignment, and abstracted data to support that appropriate reimbursement… 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 and APR- DRG )...clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding… more
- Texas Health Resources (Arlington, TX)
- Manager Compliance Coding _Are you looking for...guidance based on Federal, State, Local, and THR policies. Coding Audit Team Management - Lead the ... work hours: Monday - Friday; 8:00a-5:00p; Position Summary The Coding Compliance Manager oversees and manages auditing...coding audit team, including training and performance evaluation, to maintain… more
- Cardinal Health (Salt Lake City, UT)
- …and conducts investigations to resolve ethics and compliance issues. **Compliance Audit Manager ** Reporting to the Compliance Director, this position ... well as the development and completion of the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all… more
- Highmark Health (Harrisburg, PA)
- …**GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data ... performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for… more
- Sharp HealthCare (San Diego, CA)
- …HCPCs, and/or E/M CPT. **Preferred Qualifications** + Other : Strong background in in ICD-10-CM/PCS coding , DRG coding and CPT coding classification. + ... position provides oversight and maintenance of a high-quality, effective, best practices coding , billing, and reimbursement audit compliance program to prevent… more
- University of Southern California (Alhambra, CA)
- …and a certified coding course. Must possess a thorough knowledge of ICD/ DRG coding and/or CPT/HCPCS coding principles, and the recommended American ... clarify the necessary clinical documentation needed to facilitate accurate and complete coding , abstracting, and DRG assignments. Participate in responses to… more
- Datavant (Boise, ID)
- … changes with the appropriate manager . + Prepare the final reports for the coding audit and actively participates in the resolution of audit findings. + ... headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in… more
- Datavant (Annapolis, MD)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... Types of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. + Provides rich and concise rationale… more
- Fairview Health Services (St. Paul, MN)
- …based on audit findings, trends and/or regulatory guidelines to meet coding and documentation rules. + Collaborate with key stakeholders to determine and address ... **Job Overview** **Job Overview:** Fairview is looking for a Coding Documentation Liaison to join our team! Coding Documentation Liaison. Documentation Liaison… more
- Ventura County (Ventura, CA)
- …Continuous + Description + Benefits + Questions Description Under direction from the Manager of Health Information Management, the Coding Supervisor will assist ... of coders that are not meeting quality standards; prepare audit reports, audit summary analysis of accuracy...on documentation requirements to establish medical necessity based on coding guidelines for assignment of accurate DRG … more
- CenterWell (Tallahassee, FL)
- …for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify coder errors ... our caring community and help us put health first** The Director, Medical Coding extracts clinical information from a variety of medical records and assigns… more
- University of Miami (Medley, FL)
- … Coding Review Specialist (H) under the general direction of the Inpatient Coding Manager works closely with the University of Miami Health's Clinical ... Official Coding Guidelines, UHDDS, and regulatory requirements for accurate MS- DRG assignment. + Ensures accurate capture of Severity of Illness (SOI) and… more
- University of Utah (Salt Lake City, UT)
- …(including Medicare Parts A and B), and ICD -10, CPT , HCPCS , DRG coding ; proficient with word processing, spreadsheet and related computer applications; ... (including Medicare Parts A and B), and ICD -10, CPT , HCPCS , DRG coding ; proficient with word processing, spreadsheet and related computer applications;… more
- Penn Medicine (Philadelphia, PA)
- …discussion to instruct the clinical teams in appropriate documentation as suggested by CMS coding guidelines and to ensure that the clinical chart is the true and ... under the leadership and moderate supervision of the Corporate Manager of Clinical Documentation and in close concert with...to primary care staff w regard to changes in coding practices and noted trends noted in team documentation… more
- University of Southern California (Alhambra, CA)
- …and hospital staff on coding issues and questions. + Ability to improve MS- DRG assignments specific to the documentation & coding of PDx, SecDx, CC/MCC, PPx, ... In accordance with federal coding compliance regulations and guidelines, use current ICD-10-CM,...fashion. + Performs other duties as requested/assigned by Director, Manager , Supervisor, or designee. + Ability to achieve a… more
