- Emory Healthcare/Emory University (Atlanta, GA)
- … coding ICD-10 in an acute care setting. + Previous experience in performing DRG coding audits. + Possesses knowledge of DRG and grouping methodologies ... audits the accuracy and completeness of diagnosis and procedure coding , DRG assignment, and abstracted data POA,...+ Coordinates remediation when required. + Coordinates with the Coding leadership, Quality nurses and the CDS… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …pre-bill) once final coding has been completed. The Lead CDI DRG Auditor will: + Perform pre-bill reviews from opportunities identified through ... **Description** **JOB DESCRIPTION:** The Lead Clinical Documentation Integrity (CDI) DRG Auditor works under the direction of the Associate Director of CDI … more
- Waystar (AR)
- **ABOUT THIS POSITION** We are looking for a Revenue Integrity DRG Auditor who has a comprehensive understanding of hospital Revenue Cycle Management. ... Significant experience in the following areas: hospital inpatient coding , DRG assignment, charge capture, and hospital...validation + Experience related to PSI, HAC, and other quality metrics is a plus **Education/Certification** + CCS, CPC,… more
- Centene Corporation (Austin, TX)
- …training and quality auditing programs for the Diagnosis Related Group ( DRG ) and Medical Record Audit Programs. + Conducts training needed analyses to determine ... specific training needs for clinical and coding staff + Identifies, selects, or develops appropriate training...degree in Nursing or equivalent experience. 4+ years of DRG and/or Medical Record Audit experience. Training or auditing… more
- Hackensack Meridian Health (Hackensack, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Coding Quality Auditor ** is responsible for monitoring compliance with ... audits.** **Responsibilities** A day in the life of a ** Coding Quality Auditor ** at Hackensack...diagnosis and procedure codes and charts abstracted information for DRG assignments into the 3M coding computer… more
- Highmark Health (Jefferson City, MO)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements....terminology and disease processes as it relates to the DRG /APC and other clinical data quality management… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's ... Qualifications** + Other : Strong background in in ICD-10-CM/PCS coding , DRG coding and CPT... ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of… more
- Wood County Hospital (Bowling Green, OH)
- The Coding Auditor /Denial Analyst accurately and efficiently audits and analyzes medical records, charge sheets and reports to ensure in the coordination of ... and assignment and abstracting reflective of clinical documentation. Ability to successfully perform coding quality review to validate correct coding and… more
- UNC Health Care (Chapel Hill, NC)
- …that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity ... Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG , hierarchical condition categories (HCC),...Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: HIM Coding & CDI Quality Work Type: Full… more
- HCA Healthcare (Nashville, TN)
- …work environment where diversity and inclusion thrive? Submit your application for our Inpatient Coding Auditor opening with Parallon today and find out what it ... may vary by location._** **We are seeking a Inpatient Coding Auditor for our team to ensure...Auditor , you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center… more
- HCA Healthcare (Nashville, TN)
- …work environment where diversity and inclusion thrive? Submit your application for our Inpatient Coding Auditor opening with Parallon today and find out what it ... may vary by location._ We are seeking a Inpatient Coding Auditor for our team to ensure...Auditor , you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center… 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 ... a leader of positive change. The **Diagnosis Related Group ( DRG ) Auditor ** is responsible for auditing clinical...upon the data quality reviews of CDMP DRG assignment and failures in the coding … more
- MD Anderson Cancer Center (Houston, TX)
- …records and applies in-depth knowledge of coding principles to determine potential coding issues and quality concerns 8. Perform audits to monitor and ... programs to support user duties; monitoring and evaluating the quality of coded data while maintaining institutional, compliance and... policies and procedures; maintains knowledge of ICD-10-CM, PCS, DRG , SOI, ROM and CPT-4 coding guidelines… more
- Cedars-Sinai (CA)
- …Under the general direction of the HID Audit Supervisor, the role operates as a Coding Auditor and shall: Monitor coding compliance through prebill and ... Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We also were...Emergency Room, Surgical/Ambulatory Care. Proficiency in ICD-10-CM and CPT-4 coding with excellent working knowledge of the DRG… more
- LA Care Health Plan (Los Angeles, CA)
- …knowledge of claims code sets including but not limited to ICD9, ICD10, HCPCS, DRG , APC and other inpatient and outpatient coding systems. An advanced knowledge ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...and trend the metrics associated with the examiner and auditor production and prepare and present written and verbal… more