- Zelis (FL)
- …gained, and the personal interests that shape who you are. Position Overview The Inpatient DRG Reviewer will be primarily responsible for conducting ... post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on...Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest… more
- Zelis (NJ)
- …this role is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the ... savings achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …development, leadership programs and more! **Description** We are seeking an experienced ** Inpatient DRG Coding Auditor** to extract data from patient encounters ... the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and...nursing, and other clinical staff to improve documentation. + Review ?s DRG Reassignment letters and assists… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for ... to improve coding practices and compliance. **Essential Functions** + Performs inpatient denial reviews using ICD-10-CM/PCS and DRG validation utilizing… more
- Insight Global (Dothan, AL)
- Job Description Insight Global is hiring Inpatient Coding Specialists for a healthcare client located in Dothan, AL. In this role, the Inpatient Coding ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and… more
- HCA Healthcare (Caldwell, ID)
- …**This is a fully work from home position.** **This position requires Inpatient Coding and DRG Validation Experience.** **Schedule: Monday-Friday Day Shift** ... If you find this opportunity compelling, we encourage you to apply for our Inpatient Coding Quality Auditor opening. We promptly review all applications. Highly… more
- University of Michigan (Ann Arbor, MI)
- …Related Group, (MS- DRG ) or All Patient Refined Diagnosis Related Group, (APR- DRG .) + The Inpatient Coding Specialist is responsible for verification of ... Medical Coder Inpatient Apply Now **Job Summary** Advanced coding position...Apply Now **Job Summary** Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM,… more
- Elevance Health (Denver, CO)
- …Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** is responsible for auditing inpatient medical records to ensure clinical ... documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an… more
- RWJBarnabas Health (Oceanport, NJ)
- …is responsible for ensuring accuracy and integrity of ICD-10-CM/PCS coding and DRG assignment for inpatient Medicare encounters. This requires critical thinking ... Regulations and Compliance Guidelines. + Critically analyzes each Medicare inpatient medical record to apply appropriate coding, DRG...a team with other Quality Officers to ensure SMART review goals are met for all RWJBarnabas facilities. +… more
- RWJBarnabas Health (Oceanport, NJ)
- …1 is responsible for ensuring accuracy and integrity of ICD-10-CM/PCS coding and DRG assignment for inpatient encounters for other payers (not Medicare/Managed ... State Regulations and Compliance Guidelines. + Critically analyzes each inpatient medical record to apply appropriate coding, DRG...a team with other Quality Officers to ensure SMART review goals are met for all RWJBarnabas facilities. +… more
- HCA Healthcare (Orange Park, FL)
- …fully remote/work from home!** **Schedule: Monday-Friday Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits** ... that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. HCA Healthcare has...**Job Summary and Qualifications** As a work from home Inpatient Coding Auditor, you will be responsible for performing… more
- Elevance Health (Chicago, IL)
- …is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR** is responsible for auditing inpatient medical ... and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of...where additional recoveries may be available, such as re-admissions, Inpatient to Outpatient, and HACs. + Suggests and develops… more
- Insight Global (South Jordan, UT)
- …knowledge ( DRG & ICD-10) Registered Nurse RN (must be inpatient ) WITH coding/clinical documentation certification (2 years in clinical documentation) OR IF ... Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients...extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding… 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 ... and procedures that were performed during an episode of care. + Review and evaluate focused UPMC DRG medical records for accurate DRG assignment to ensure… more
- Houston Methodist (Houston, TX)
- …(includes CPT) (for inpatient /outpatient coding) coding classification systems + For inpatient /outpatient coding: MS- DRG , APR DRG and APC assignment ... education **WORK EXPERIENCE** + Eight years of progressive coding and/or coding review (auditing) experience at a large facility or multi-facility + Some… more
- Hartford HealthCare (Farmington, CT)
- …and other common practices across the system. *_Position Summary:_* Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric ... diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS- DRG ). Data is classified for internal and external statistical reporting, research,… more
- Hartford HealthCare (Farmington, CT)
- …and other common practices across the system. *_Position Summary:_* Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric ... diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS- DRG ). Data is classified for internal and external statistical reporting, research,… more
- Penn Medicine (Philadelphia, PA)
- …employees shape our future each day. Are you living your life's work? HIM Inpatient Coding Specialist II Job Summary: + Performs all coding and abstracting for Penn ... procedure, and secondary procedures accurately. Performs analysis of the DRG assigned to produce the highest level of reimbursement...the following guidelines: HUP & PPMC Average of 15 inpatient records coded daily PAH, CCH, and Princeton Average… more
- Penn Medicine (Philadelphia, PA)
- …shape our future each day. Are you living your life's work? **HIM Inpatient Coding Specialist II** **Job Summary:** + Performs all coding and abstracting for ... procedure, and secondary procedures accurately. Performs analysis of the DRG assigned to produce the highest level of reimbursement...guidelines: 1. HUP & PPMC 2. Average of 15 inpatient records coded daily 3. PAH, CCH, and Princeton… more
- Penn Medicine (Philadelphia, PA)
- …employees shape our future each day. Are you living your life's work? **HIM Inpatient Coding Specialist I** Job Summary: + Performs all coding and abstracting by ... procedure, and secondary procedures accurately. Performs analysis of the DRG assigned to produce the highest level of reimbursement...the following guidelines: + 1. HUP- Average of 7.5-11.5 inpatient records coded daily + 2. PPMC- Average of… more