- Emory Healthcare/Emory University (Atlanta, GA)
- … coding ICD-10 in an acute care setting. + Previous experience in performing DRG coding audits. + Possesses knowledge of DRG and grouping methodologies ... audits the accuracy and completeness of diagnosis and procedure coding , DRG assignment, and abstracted data POA,...+ Coordinates remediation when required. + Coordinates with the Coding leadership, Quality nurses and the CDS… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …pre-bill) once final coding has been completed. The Lead CDI DRG Auditor will: + Perform pre-bill reviews from opportunities identified through ... **Description** **JOB DESCRIPTION:** The Lead Clinical Documentation Integrity (CDI) DRG Auditor works under the direction of the Associate Director of CDI … 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...validation + Experience related to PSI, HAC, and other quality metrics is a plus **Education/Certification** + CCS, CPC,… more
- Centene Corporation (Austin, TX)
- …training and quality auditing programs for the Diagnosis Related Group ( DRG ) and Medical Record Audit Programs. + Conducts training needed analyses to determine ... specific training needs for clinical and coding staff + Identifies, selects, or develops appropriate training...degree in Nursing or equivalent experience. 4+ years of DRG and/or Medical Record Audit experience. Training or auditing… more
- AdventHealth (Altamonte Springs, FL)
- …EXPERIENCE** **REQUIRED** : . Five (5) years of inpatient or outpatient coding or Coding Quality Auditor experience . Completion of a coding ... **Job Location** : Remote **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the… more
- Highmark Health (Jefferson City, MO)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements....terminology and disease processes as it relates to the DRG /APC and other clinical data quality management… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's ... Qualifications** + Other : Strong background in in ICD-10-CM/PCS coding , DRG coding and CPT... ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of… 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 ... and assignment and abstracting reflective of clinical documentation. Ability to successfully perform coding quality review to validate correct coding and… more
- HCA Healthcare (Nashville, TN)
- …work environment where diversity and inclusion thrive? Submit your application for our Inpatient Coding Auditor opening with Parallon today and find out what it ... may vary by location._** **We are seeking a Inpatient Coding Auditor for our team to ensure...Auditor ,** **you will** **be responsible for performing** **internal quality assessment reviews on Health Information Management Service Center… more
- HCA Healthcare (Nashville, TN)
- …work environment where diversity and inclusion thrive? Submit your application for our Inpatient Coding Auditor opening with Parallon today and find out what it ... may vary by location._ We are seeking a Inpatient Coding Auditor for our team to ensure...Auditor , you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center… more
- UNC Health Care (Chapel Hill, NC)
- …that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity ... Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG , hierarchical condition categories (HCC),...Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: HIM Coding & CDI Quality Work Type: Full… more
- Veterans Affairs, Veterans Health Administration (IN)
- …offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign ... for each diagnosis and procedure. Responsibilities At this level, the coding practitioners analyze and abstract patients' health records and assign alpha-numeric… more
- Universal Health Services (Edinburg, TX)
- Responsibilities POSITION SUMMARY: The Compliance Auditor - Clinical Documentation Integrity (CDI) is responsible for improving the overall quality , completeness ... documentation review and query functions for the South Texas Region. Compliance Auditor focuses on CDI compliance with the rules and regulations of regulatory… more
- Corewell Health (Caledonia, MI)
- Job Summary Manages coding quality team processes and employees, whose primary function is to evaluate coding accuracy, provide coder education and ... With senior coding leadership support, develops and facilitates all coding quality program initiatives and related activities. Essential Functions +… more
- Superior Ambulance Service (Elmhurst, IL)
- Overview Processing and Coding Supervisor + Responsible for oversight and audit of all front-end billings, with backup to unassigned states during absences including ... Create and maintain a farming system of growth for Coding staff into higher acuity roles, including employee responsibility...handled by the deadline with accuracy + Develop a DRG and PPS audit program, with continuing education and… more
- LA Care Health Plan (Los Angeles, CA)
- …knowledge of claims code sets including but not limited to ICD9, ICD10, HCPCS, DRG , APC and other inpatient and outpatient coding systems. An advanced knowledge ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...and trend the metrics associated with the examiner and auditor production and prepare and present written and verbal… more