- Elevance Health (Grand Prairie, TX)
- ** DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ _This role enables associates to work virtually full-time, with the exception of required in-person ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical… 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 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
- Humana (Montgomery, AL)
- …Management organization, including offshore and vendor partners, with a focus on DRG audits. You will also drive process improvement initiatives and develop ... a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns… more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about ensuring compliance in healthcare? **UPMC Corporate ... Finance** is looking for a dedicated and meticulous **Compliance Auditor , Associate** to join our team. This role is...and HCPCS codes or CPT and HCPCS ICD-10-CM-PCD and DRG assignment appropriateness to ensure consistency and efficiency in… more
- Elevance Health (Denver, CO)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and ... **UPMC Corporate Compliance** is seeking a dedicated and detail-oriented **Intermediate Compliance Auditor ** to join our team! This position will be based out of… more
- Highmark Health (Harrisburg, PA)
- …II code and modifier assignments, ICD diagnosis and procedure coding, DRG /APC structure according to regulatory requirements. Reports findings both verbally and ... systems, missed secondary diagnoses and procedures and ensures compliance with DRG /APC structure and regulatory requirements. Performs periodic claim form reviews to… 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) ... coding or professional E/M coding in the following coding systems: ICD-10-CM/PCS, DRG , CPT& HCPCs, and/or E/M CPT. **Preferred Qualifications** + Other : Strong… more
- R1 RCM (Detroit, MI)
- …- one that promotes patient satisfaction and improves financial performance. As our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG ... systems to validate the accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. **Every day in this role… more
- AdventHealth (Tampa, FL)
- …Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the Inpatient Operations Manager, is responsible ... the daily auditing of records. The Inpatient Coding Quality Auditor works in collaboration with the Manager to ensure...you'll bring to the team:** . Reviews records for DRG and overall coding accuracy retrospectively and concurrently as… more
- Houston Methodist (Houston, TX)
- …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 and ... **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding/ DRG requests. Responds promptly to Business Office requests to code or… 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 Consulting ... which will align successfully within the organization. **Job Title:** Inpatient Auditor **Location:** Remote **Pay Range:** $58-62 per hour **Job Type:** 12-month… more
- AdventHealth (Altamonte Springs, FL)
- …you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the inpatient or outpatient coding ... to achieve industry best practice levels of performance. The Corporate Quality Auditor will adhere to AdventHealth Corporate Compliance standards, as well as rules… 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 ... various hospital departments. Additional responsibilities include: + Conducting quality and DRG payment reviews for inpatient services to ensure accurate coding and… more
- MedKoder (Mandeville, LA)
- …inpatient and outpatient facility coding, medical risk adjustment management, DRG coding management, coding education, clinical coding documentation improvement, ... work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty… more
- UNC Health Care (Chapel Hill, NC)
- …the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as ... severity of illness, and risk of mortality. Assures accurate assignment of Working MS- DRG , ICD-10-CM/PCS codes and CPT codes in accordance with the Official Coding… more
- Centene Corporation (New York, NY)
- …and 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...degree in Nursing or equivalent experience. 4+ years of DRG and/or Medical Record Audit experience. One year of… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …coding. Audit accurate and complete assignment of ICD-10-CM and ICD-10-PCS codes, MS- DRG , POA status, and discharge disposition values for inpatient health records. ... Certification through AHIMA or ACDIS. GS-09 Medical Records Technician (Coder) Auditor Grade Determinations: Experience: One year of creditable experience equivalent… more
- Amergis (San Antonio, TX)
- Salary: $40 / Hour Inpatient Denials Auditor must have experience with the following: - RAC / RAM Denials - Claim Adjustment Denials - PSI / HAC Reviews - Stroke ... Accounts - Creating Appeal Letters - Focused DRG Reviews for missed CC or MCC Comfortable with Re-Coding accounts and providing feedback to original coders EPIC &… more
- Northwell Health (Garden City, NY)
- …Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates ... codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the coding and CDI staff. 8.Identifies… more