- 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
- 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
- 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...(tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid… more
- AdventHealth (Orlando, FL)
- …to all. The Senior Coder demonstrates experience and expertise, so coding quality review is not required before billing. The Senior Coder utilizes years of ... and 125,000 outpatients each year **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical… more
- AdventHealth (Orlando, FL)
- …to all. The Senior Coder demonstrates experience and expertise, so coding quality review is not required before billing. The Senior Coder utilizes years of ... and 125,000 outpatients each year **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical… more
- HCA Healthcare (San Antonio, TX)
- …organizations. Apply Today! **Job Summary and Qualifications** As a work from home Inpatient Coding Specialist, you will review and evaluate hospital ... provides satisfaction and personal growth, we encourage you to apply for our Inpatient Coding Specialist opening. We promptly review all applications. Highly… more
- UHS (Binghamton, NY)
- …to learn more. Job Responsibilities: + Assign ICD-10-CM and ICD-10-PCS codes to inpatient diagnoses and procedures, ensuring accurate MS- DRG or APR- DRG ... Position OverviewUnited Health Services (UHS) is seeking an experienced Inpatient Hospital Coder to join our Health Information Management team. In this role, you… more
- Tufts Medicine (Burlington, MA)
- …medical records to assure accurate specificity of diagnoses and procedures for inpatient admissions. Effectively utilizes ICD-10 CM and PCS codes according to coding ... of deficiencies, within Epic, for missing documentation. Works with leadership to review denial reports as well as participating in internal and external audits… more
- HCA Healthcare (Fredericksburg, VA)
- …incentive plan driven, customer needs, identified trends, RAC, payer, etc.) for inpatient and/or outpatient coding (eg, DRG /code validation, query validation) + ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- WellSpan Health (Chambersburg, PA)
- …accordance with departmental goals for coding turnaround. 5. Selects the most accurate DRG for each inpatient account, maintaining compliance based on approved ... as a medical coder for the Health Information Management Department to review , retrieve, collect, and assign appropriate ICD-10-CM diagnoses codes and ICD-10-PCS or… more
- Penn Medicine (Lititz, PA)
- …compliance with regulations, and accuracy for clinical care analysis and provider profiling. Review coded medical records for coding and DRG accuracy by ... + Position Summary: : Codes and abstracts information from inpatient and outpatient records by careful analysis and adherence...cross training to existing staff as needed. + Research, review and respond to coding and coding quality issues… more
- Albany Medical Center (Albany, NY)
- …Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, ... education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI.… more
- Houston Methodist (Sugar Land, TX)
- …DRG recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for...Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and… more
- AdventHealth (Orlando, FL)
- …managed care payers. The PA role is responsible for providing physician review of utilization, claims management, and quality assurance related to inpatient ... to the team:** + SCOPE OF RESPONSIBILITY: Responsible for reviewing and authorizing inpatient days and the evaluation of inpatient utilization patterns within… more
- HCA Healthcare (Nashville, TN)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... peer to peers with health plan counterpart for denied inpatient cases. + Acts as a liaison with payers...payer requirements. + Performs data analysis related to utilization review (UR) metrics, works with hospital utilization management committees… more
- Geisinger (Danville, PA)
- …The core of the program uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to be coded post ... provided to the patient. This is accomplished with the recognition of complete and accurate diagnoses, procedures performed, and...BSN is strongly preferred. Job Duties: + Reviews inpatient medical records within 24-48 hours of admission for… more
- HCA Healthcare (Tampa, FL)
- …a fully work from home position.** **This position has a specialization in Inpatient Coding.** **Benefits** Parallon offers a total rewards package that supports the ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- Stony Brook University (Commack, NY)
- …Comorbidities in ICD-10 CM books + Provide education to the CDI staff on the Inpatient Prospective Payment System. + Provide education to the CDI staff on the use of ... chapter. + Provide education to the CDI staff on DRG Expert reviews. Identify surgical DRG 's versus...staff on coding guidance on an ongoing basis. + Review and respond to coding questions. + Work in… more
- Cardinal Health (San Juan, PR)
- …billing standards; communication of audit results to physicians, physician leadership, senior leadership, management, and staff; physician and coder education; and ... peers, customers, and suppliers at various management levels; may interact with senior management + Interactions normally involve resolution of issues related to… more
- Carle Health (Champaign, IL)
- …system and all Carle physician groups. Oversee all aspects of inpatient , outpatient and professional coding operations, clinical documentation, coding audit and ... coding and billing processes. + Thorough understanding of codes sets, including ICD10, DRG , HCPCS, CPT, E/M, RVUs, LCDs and NCDS. + Proven experience managing teams… more