- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Manager, Clinical DRG Coding & Validation must have an extensive background in either facility-based nursing and/or inpatient ... a high level of understanding in reimbursement guidelines specifically related to MS- DRG , AP- DRG and APR- DRG payment systems. Key participant in the… more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within our Coding Department. This position will be a work-from-home position ... OIG regulations. **Responsibilities:** + Review and evaluate focused UPMC DRG medical records for accurate DRG assignment...focused UPMC DRG medical records for accurate DRG assignment to ensure that all documented principal and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor** to extract data from patient encounters ensuring the ... the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition. +...+ Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG . + Reviews… more
- Elevance Health (Norfolk, VA)
- ** DRG Coding Auditor Principal** _Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach ... onboarding and skill development. Alternate locations may be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records… more
- Banner Health (TN)
- …quality in the Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from you. **Requirements:** + **5 ... facility-based medical coding (clearly reflected in your attached resume);** + ** DRG and PCS** **Coding & Auditing** **experience** **;** + **Bachelors** **degree… more
- Elevance Health (St. Louis, MO)
- ** DRG CODING AUDITOR** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The ** DRG CODING AUDITOR** is responsible for ... and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG... DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement… more
- Kaleida Health (Buffalo, NY)
- **Director Clinical and DRG Denials** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job ... Description **Summary:** The Director, Clinical & DRG Denials provides clinical leadership and administrative guidance to the Clinical Revenue Cycle department.… more
- Humana (Jefferson City, MO)
- …Management organization, including offshore and vendor partners, with a focus on DRG audits. You will also drive process improvement initiatives and develop ... Management organization, including offshore and vendor partners, with a focus on DRG audits. You will also drive process improvement initiatives and develop… more
- The Davey Tree Expert Company (Richfield, OH)
- …a minimum of 40 - 45 hours per week. Compensation based on experience. DRG offers excellent benefits including: health, dental, vision and life insurance after 30 ... an Equal Opportunity Employer. Veterans are encouraged to apply. DRG is Employee Owned. We encourage you to take...a Davey Company, which has been employee-owned since 1979. DRG specializes in managing the assets of utility companies… more
- The Davey Tree Expert Company (Dallas, TX)
- …a minimum of 40 - 45 hours per week. Compensation based on experience. DRG offers excellent benefits including: health, dental, vision and life insurance after 30 ... an Equal Opportunity Employer. Veterans are encouraged to apply. DRG is Employee Owned. We encourage you to take...a Davey Company, which has been employee-owned since 1979. DRG specializes in managing the assets of utility companies… more
- Insight Global (Miami, FL)
- Job Description Insight Global is looking to hire 2 remote Inpatient DRG Coding Specialists for a healthcare provider in the South Florida area. We are seeking a ... detail-oriented and experienced Inpatient DRG Coding Specialist to join our Health Information Management...records to assign appropriate ICD-10-CM/PCS codes. * Ensure accurate DRG assignment and compliance with coding guidelines and regulations.… more
- St. Luke's University Health Network (Allentown, PA)
- …data and coding of all diagnosis and procedure codes to assure properly assigned MS- DRG for the purposes of appealing proposed MS- DRG and coding changes by ... record reviews for diagnosis and procedure code assignment and MS- DRG accuracy for inpatient encounters and CPT assignment for...inpatient encounters and CPT assignment for OP encounters. Analyze DRG or CPT denial letters and draft appeal letters,… more
- Hartford HealthCare (Farmington, CT)
- …alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS- DRG ). Data is classified for internal and external statistical reporting, ... and/or encoder, coding manuals and other reference material. 3. Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes… more
- Hartford HealthCare (Farmington, CT)
- …alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS- DRG ). Data is classified for internal and external statistical reporting, ... and/or encoder, coding manuals and other reference material. 3. Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes… more
- Trinity Health (Livonia, MI)
- …and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS- DRG ), All Patient Refined DRGs (APR), Present on Admission (POA), as ... of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS- DRG , APR DRG , POA, SOI & ROM assignments. ESSENTIAL FUNCTIONS: 1. Knows,… more
- RWJBarnabas Health (West Orange, NJ)
- …responsible for ensuring accuracy and integrity of ICD-10-CM/PCS coding and DRG assignment for inpatient Managed Medicare encounters. This requires critical thinking ... the accuracy and integrity of ICD-10-CM/PCS, CPT coding when applicable and DRG assignment for adherence to Federal and State Regulations and Compliance Guidelines.… more
- Kaleida Health (Buffalo, NY)
- …Compliance, Clinics, and Ancillary depts to perform and review the coding and DRG assignment for accuracy. Serves as the liaison between coding specialists and ... clinical documentation specialists for DRG Mismatch and reconciliation of case variation. Ensures all...represent the case mix, the accurate Diagnosis Related Group ( DRG ) assignment, proper reimbursement and quality measure/metrics. Assists with… more
- Taco Bell (Sparks, NV)
- …is between $12-$14 per hour depending on experience and availability! BENEFITS: * DRG Cares Grant Program - Grants to assist employees with life challenges and ... financial assistance * DRG Savings Marketplace- Exclusive access to discounts for DRG employees * Employee Assistance Program - Counseling services, legal… more
- Taco Bell (Boulder City, NV)
- …is between $18.50-$24 per hour depending on experience and availability! BENEFITS: * DRG Cares Grant Program - Grants to assist employees with life challenges and ... financial assistance * DRG Savings Marketplace- Exclusive access to discounts for DRG employees * Employee Assistance Program - Counseling services, legal… more
- Taco Bell (Sparks, NV)
- …is between $16.38-$19 per hour depending on experience and availability! BENEFITS: * DRG Cares Grant Program - Grants to assist employees with life challenges and ... financial assistance * DRG Savings Marketplace- Exclusive access to discounts for DRG employees * Employee Assistance Program - Counseling services, legal… more
Related Job Searches:
Clinical Documentation DRG Specialist,
DRG Auditor,
DRG Coding Auditor,
DRG Coding Auditor Principal,
DRG Reviewer,
DRG Validator,
Inpatient DRG Coder,
Inpatient DRG Coder Remote,
Inpatient DRG Coding Auditor,
Inpatient DRG Quality Auditor