- Humana (Montgomery, AL)
- …Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... materials. This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from… more
- 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 from ... encounters ensuring the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits… more
- Elevance Health (Grand Prairie, TX)
- …eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating ... ** DRG CODING AUDITOR ** **_Virtual_** **_: _**...and generate audit findings letters. + Maintains accuracy and quality standards as set by audit management for the… more
- AdventHealth (Tampa, FL)
- …Stroke Association as a Primary Stroke Center. **The ro** **le 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...Reviews and addresses all third party/Regulatory Agencies requests for DRG changes or quality studies. . Reviews… more
- UCLA Health (Los Angeles, CA)
- Description As an Inpatient Coding Auditor with a specialization in DRG payment reviews, you will conduct thorough audits of inpatient coding to ensure ... Additional responsibilities include: + Conducting quality and DRG payment reviews for inpatient services to...quality and DRG payment reviews for inpatient services to ensure accurate coding and reimbursement +… more
- ManpowerGroup (St. Paul, MN)
- Our client, a leader in healthcare innovations, is seeking an Inpatient Auditor to join their team. As an Inpatient Auditor , you will be part of the ... improvement, which will align successfully within the organization. **Job Title:** Inpatient Auditor **Location:** Remote **Pay Range:** $58-62 per hour… more
- Humana (Madison, WI)
- …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical ... an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (… more
- AdventHealth (Maitland, FL)
- …each year **The role youll contribute:** Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible for validating the ... coding performed by inpatient or outpatient coders. Random and/or target samples are...**The value youll bring to the team:** + Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS,… more
- AdventHealth (Altamonte Springs, FL)
- …role you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the inpatient or ... a coding certificate program. 5 of inpatient or outpatient coding or Coding Quality Auditor experience. Certification: CCS or CPC or CPC-P or RHIA or RHIT.… more
- Houston Methodist (Houston, TX)
- …live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis ... co-morbid conditions and complications, secondary conditions and procedures. + Assists with quality reviews of outpatient or inpatient accounts and/or training… more
- Elevance Health (Seattle, WA)
- …- Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) ... audit program. The position provides oversight and maintenance of a high- quality , effective, best practices coding, billing, and reimbursement audit compliance… more
- UPMC (Pittsburgh, PA)
- …CPT, Modifiers, etc.). + Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about...and HCPCS codes or CPT and HCPCS ICD-10-CM-PCD and DRG assignment appropriateness to ensure consistency and efficiency in… more
- UPMC (Pittsburgh, PA)
- …CPT, Modifiers, etc.). + Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and… more
- Highmark Health (Harrisburg, PA)
- …techniques, medical terminology and disease processes as it relates to the DRG /APC and other clinical data quality management factors. With technical ... and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs,… more
- UPMC (Wexford, PA)
- …CPT, Modifiers, etc.). + Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting ... their best selves? UPMC Children's Community Pediatrics is hiring a Full-Time Compliance Auditor , Intermediate to support the office Remotely. Must live in the state… more
- UNC Health Care (Chapel Hill, NC)
- …the unique communities we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities ... position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity...and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and… more
- MedKoder (Mandeville, LA)
- …and led by a medical coding veteran, the company offers services including inpatient and outpatient facility coding, medical risk adjustment management, DRG ... work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty… more
- Centene Corporation (New York, NY)
- …conducting training and quality auditing programs for the Diagnosis Related Group ( DRG ) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding ... Auditor & Trainer position is primarily remote with a...with all policies and standards **Highly Preferred Skills:** + Inpatient Coding Experience + At least 1 year of… more
- St. Luke's University Health Network (Allentown, PA)
- …claims data and coding of all diagnosis and procedure codes to assure properly assigned MS- DRG or APR- DRG for the purpose of appealing proposed DRG and ... record reviews for clinical validation of diagnosis and procedure code assignment and MS- DRG /APR- DRG accuracy based on denials or audit findings from government… more