- 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 ... the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and...an acute care setting. + Previous experience in performing DRG coding audits. + Possesses knowledge of… more
- Elevance Health (Tampa, FL)
- ** DRG CODING AUDITOR ** **Location** :...be considered._ The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical records ... DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending...Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient… more
- TEKsystems (Jacksonville, FL)
- Remote Inpatient Coding Auditor (Full Time & PRN...Must have 5+ years of experience with Inpatient Coding Auditing. * Must be strong in DRG , APR, ... precision, professionalism, and progress. We are hiring 1 Remote Inpatient Coding Auditor who is...Coding references will be used to ensure accurate coding and grouping of classification assignments (eg, MS- DRG… more
- TEKsystems (Atlanta, GA)
- …experience in APR, SOI (severity of illness), and ROM (risk of mortality) Description + The Coding Auditor 1 is proficient in various types of coding and is ... quality audits and providing feedback to coders. + The Coding Auditor 1 utilizes the International Classification...Coding references will be used to ensure accurate coding and grouping of classification assignments (eg, MS- DRG… more
- Baylor Scott & White Health (Columbus, OH)
- **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing ... feedback to coders. The Coding Auditor 1 utilizes the International Classification...Coding references will be used to ensure accurate coding and grouping of classification assignment (eg, MS- DRG… 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...Management (HIM) education. + Minimum of 5 years progressive coding review in ICD-10-CM and DRG methodologies.… more
- AdventHealth (Altamonte Springs, FL)
- … Quality Manager, the Data Quality Reviewer is responsible for validating the coding performed by inpatient or outpatient coders. Random and/or target samples ... timely clinical documentation.** + **Assists with writing compelling appeals to all DRG denials from outside agencies referencing Official Coding Guidelines and… more
- Houston Methodist (Nashville, TN)
- ** Coding Quality Auditor - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)** **$5,000 Sign-On Bonus** At Houston Methodist, the Coding Quality ... **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding / DRG requests. Responds promptly to Business Office requests to code… more
- Highmark Health (Columbus, OH)
- …HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. Reports findings both ... or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned...In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG /APC… more
- Catholic Health (Kenmore, NY)
- …Information Management (HIM) Educator/ Auditor will work cooperatively with CH coding associates, physicians, Inpatient and Outpatient Coding Managers, ... well as updates to the Medicare, New York and APR- DRG grouper logic. The Educator will provide mentoring for...grouper logic. The Educator will provide mentoring for new coding staff. The Educator/ Auditor will also assist… more
- UNC Health Care (Chapel Hill, NC)
- …Abilities Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG , hierarchical condition categories (HCC), and CDI ... the unique communities we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities… more
- Northwell Health (Westbury, NY)
- …6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the coding and CDI staff. ... **Req Number** 155044 Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by… more
- Elevance Health (Norfolk, VA)
- …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical...Experience with third party DRG Coding and/or Clinical Validation Audits or… more
- UPMC (Pittsburgh, PA)
- …Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M ... auditing, billing and compliance. + Knowledge of CMS and third-party payer coding , billing, and documentation compliance regulations preferred (MS- DRG , APR-… more
- UPMC (Pittsburgh, PA)
- …Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M ... auditing and compliance. + Extensive knowledge of CMS, and third-party payer coding , billing, and documentation compliance regulations required (MS- DRG , APR-… more
- UPMC (Pittsburgh, PA)
- …Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M ... auditing and compliance. + Extensive knowledge of CMS, and third-party payer coding , billing, and documentation compliance regulations required (MS- DRG , APR-… more
- R1 RCM (Detroit, MI)
- …As our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of reviewing ... accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. **Every...**Every day in this role you will:** + Review inpatient medical records for validation of DRG … more
- The Arora Group (Hampton, VA)
- …and Management (E&M) Auditor Certification. + Possess either the Certified Inpatient Coder (CIC) or the Certified Coding Specialist (CCS). This will ... Medical Coder- Inpatient Admin Currently recruiting an ON-SITE Medical Coder-...Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT). +… more
- Catholic Health (Buffalo, NY)
- …but not limited to clinical documentation/support for diagnostic related grouping ( DRG ) assignment, inpatient and outpatient medical necessity. The individual ... trends in denials, and clinical documentation. Responsible for working alongside coding , clinical documentation integrity, medical staff and revenue cycle on… more
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