- Elevance Health (Chicago, IL)
- ** Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... accommodation is granted as required by law. The ** Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical… more
- Humana (Columbus, OH)
- …in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates ... caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns… more
- Humana (Topeka, KS)
- …of variable factors. The Inpatient Medical Coding Auditor confirms appropriate diagnosis related group (DRG) assignments upon appeal. Analyzes, enters ... help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to...and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 -… more
- MedKoder (Mandeville, LA)
- …work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty ... payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal coding/auditing policies and… more
- Elevance Health (Ashburn, VA)
- …Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based Diagnosis - Related Group (DRG) Coding/Clinical Validation Audit setting or ... **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role enables… more
- Tufts Medicine (Burlington, MA)
- … physician and non-physician providers. Responsibilities include supportive coding instruction related to primary diagnosis and procedural coding and ensuring ... **Professional Coding Auditor and Educator - Remote** **Job Profile** **Summary**...Remote** **Job Profile** **Summary** This role focuses on activities related to revenue cycle operations such as billing, collections,… more
- A Bright Future, Inc. (Los Angeles, CA)
- …who provides direct in-home services to individuals diagnosed with Autism and related developmental disabilities (under the supervision of a Board Certified Behavior ... with a developmental disability and may also have an AXIS I mental health diagnosis and/or a restricted health care condition. Symptoms may include auditor … more
- TEKsystems (Dallas, TX)
- …like for everyone to have experience in emergency services, inpatient coding, or DRG ( diagnosis - related group ) coding. This would allow them to understand ... are looking at. Does not have to be an auditor or a ton of experience, but just knowledge...the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …to healthcare and compliance industry. Knowledge of Current Procedural Terminology ( CPT ) and Diagnosis Related Group ( DRG ) coding. Knowledge of medical, ... Committee, and UT System as needed. + Develops and maintains risk compliance- related education and training materials and conducts training sessions. + Monitor… more
- SSM Health (MO)
- …of mortality models, observed rate/expected rate (O/E ratios), industry trends, variable and diagnosis review group (DRG) frequency. + Serves as a liaison ... Performs as a vital member of the interdisciplinary care team member, an auditor , and an educator ensuring medical records are complete and clinical documentation… more