- 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 (Atlanta, GA)
- ** DRG CODING AUDITOR ** **_Virtual_**...medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical ... 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
- Elevance Health (Atlanta, GA)
- …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG ...Experience with third party DRG Coding and/or Clinical Validation Audits or… more
- Humana (Atlanta, GA)
- …of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical ... caring community and help us put health first** The Inpatient Medical Coding Auditor extracts...least one of these qualifications for 4 years) * MS- DRG coding /auditing experience * Experience reading and… more
- Highmark Health (Atlanta, GA)
- …HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. Reports findings both ... Health Network **Job Description :** **_*This role will cover Inpatient Auditors and will require Inpatient (AHIMA)...In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG /APC… more
- Cognizant (Atlanta, GA)
- **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient . You will be a valued member of the ... teams. **In this role, you will:** + Review ICD-10 inpatient patient records for accuracy and compliance + Review...and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of… more
- Molina Healthcare (Atlanta, GA)
- …all claim types of reimbursements not limited to payment methodologies such Stoploss, DRG , APC, RBRVS, FFS applicable for HD Inpatient , Outpatient and ... and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules… more
- Datavant (Atlanta, GA)
- …allowing you to help shape the future of healthcare from your own workspace! Preferred: Inpatient auditor with 3-5 years of experience at a Trauma Level 1 ... facility. SMART software experience preferred. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate … more