- HonorHealth (Phoenix, AZ)
- …improve the health and well-being of those we serve. Responsibilities Job Summary The DRG Auditor is responsible for performing an in-depth review of select ... medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses...makes corrections following Medicare & AMA coding guidelines. Assigns DRG and performs DRG validation as applicable.… more
- Emory Healthcare/Emory University (Atlanta, GA)
- **Description** **JOB DESCRIPTION:** The Lead Clinical Documentation Integrity (CDI) DRG Auditor works under the direction of the Associate Director of CDI ... and Education. He/she performs all the requirements of the Lead CDI DRG Auditor . In addition, this position is responsible for identifying areas of documentation… more
- Waystar (AR)
- **ABOUT THIS POSITION** We are looking for a Revenue Integrity DRG Auditor who has a comprehensive understanding of hospital Revenue Cycle Management. ... Significant experience in the following areas: hospital inpatient coding, DRG assignment, charge capture, and hospital reimbursement methodologies. The candidate… more
- Centene Corporation (Austin, TX)
- …and conducting training and quality auditing programs for the Diagnosis Related Group ( DRG ) and Medical Record Audit Programs. + Conducts training needed analyses to ... Associate's degree in Nursing or equivalent experience. 4+ years of DRG and/or Medical Record Audit experience. Training or auditing experience in… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …audits 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 non-CC/MCC records to determine if record was miscoded or if additional… more
- R1 RCM (Chicago, IL)
- As the Inpatient Coding and Documentation Auditor I, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This ... systems to validate the accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. Everyday in this role you… more
- Highmark Health (Jefferson City, MO)
- …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 (Salt Lake City, UT)
- …satisfaction and improves financial performance. As the Inpatient Coding and Documentation 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… more
- PeaceHealth (Springfield, OR)
- **Description** PeaceHealth is seeking an Inpatient Coding Auditor Educator to serve as an expert resource for auditing and training in support of accuracy and ... PSI and HAC review. Performing post-billing medical record review focused on DRG validation. + Developing training materials and curriculum for coding, external… more
- Wood County Hospital (Bowling Green, OH)
- The Coding Auditor /Denial Analyst accurately and efficiently audits and analyzes medical records, charge sheets and reports to ensure in the coordination of proper ... coding/billing. Serves as an internal auditor and educates on findings. Manages all aspects of...for all inpatient and outpatient records to include ICD-10-CM/PCS, DRG , ROM/SOI/APR- DRG , CPT/APC, E&M coding and assignment… more
- AdventHealth (Altamonte Springs, FL)
- …you'll 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
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** ** DRG Inpatient Audit Coder** **Are you looking for a work environment where diversity and inclusion thrive? Submit your application ... for our Inpatient Coding Auditor opening with Parallon today and find out what...vary by location._** **We are seeking a Inpatient Coding Auditor for our team to ensure that we continue… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** ** DRG Inpatient Audit Coder** Are you looking for a work environment where diversity and inclusion thrive? Submit your application ... for our Inpatient Coding Auditor opening with Parallon today and find out what...vary by location._ We are seeking a Inpatient Coding Auditor for our team to ensure that we continue… more
- Universal Health Services (Richmond, VA)
- …The Atlantic Region CBO is seeking a dynamic and talented Senior Nurse Auditor . The primary responsibility of the Senior Nurse Auditor is guiding ... of stay, non-covered services, experimental and investigational issues, ER Downgrades, DRG validation and other claim denials. + Draft detailed clinical appeal… more
- R1 RCM (Salt Lake City, UT)
- As our Inpatient Production Auditor , you will be responsible for auditing inpatient cases and reviewing inpatient medical records for validation while maintaining ... and flexible in a work environment. **RESPONSIBILITIES** + Audit inpatient cases for DRG validation + Review inpatient medical records for validation of DRG … 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
- Universal Health Services (Edinburg, TX)
- Responsibilities POSITION SUMMARY: The Compliance Auditor - Clinical Documentation Integrity (CDI) is responsible for improving the overall quality, completeness and ... and query functions for the South Texas Region. Compliance Auditor focuses on CDI compliance with the rules and...coding skills related to assignment of diagnosis, procedures and DRG 's 6. Ability to read medical reports, interpret lab… more
- Northwell Health (Lake Success, NY)
- …Medical Record. Job Responsibility + Leverages clinical expertise to identify and validate DRG code assignment + Full review of CDI suggested code changes + ... codes on Medicare/non-Medicare charts for compliance to rules and conventions. + Communicates DRG changes and rationale to the coding and CDI staff. + Identifies… more
- Veterans Affairs, Veterans Health Administration (IN)
- …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. ... meet the criteria). Grade Determinations: Medical Records Technician Outpatient (Coder) Auditor , GS-09 GS-9 (Mastery Level) Experience. One year of creditable… more