- R1 RCM (Chicago, IL)
- … Auditor I, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of reviewing accounts in ... role you will: + Review inpatient medical records for validation of DRG assignment + Provide detailed...RHIA, RHIT, and/or CCS + 3+ years of ICD-10 coding and DRG reimbursement experience, with recent… 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...working within the hospital environment preferred + Experience in MS- DRG validation , APR- DRG validation… more
- HonorHealth (Phoenix, AZ)
- …& accuracy and makes corrections following Medicare & AMA coding guidelines. Assigns DRG and performs DRG validation as applicable. Reviews and provides ... 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… 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 ... HAC review. Performing post-billing medical record review focused on DRG validation . + Developing training materials and...a computer terminal; extensive reading. PeaceHealth is seeking a Coding Auditor Educator - Hospital Coding… more
- R1 RCM (Salt Lake City, UT)
- … Auditor II, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of reviewing accounts in ... accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. Every...role you will: . Review inpatient medical records for validation of DRG assignment . Provide detailed… more
- R1 RCM (Salt Lake City, UT)
- …and flexible in a work environment. **RESPONSIBILITIES** + Audit inpatient cases for DRG validation + Review inpatient medical records for validation ... As our Inpatient Production Auditor , you will be responsible for auditing inpatient...auditing inpatient cases and reviewing inpatient medical records for validation while maintaining excellent organizational skills and strong attention… more
- Northwell Health (Lake Success, NY)
- …functions. Preferred Skills + Hospital coding and auditing experience + DRG (diagnosis-related groups) Validation + ICD-10-CM coding and ICD-10-PCS ... in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation ...AAPC CPC-I + Must have 1-3 years of IP DRG Validation experience in a production environment… more
- Universal Health Services (Richmond, VA)
- …length of stay, non-covered services, experimental and investigational issues, ER Downgrades, DRG validation and other claim denials. + Draft detailed clinical ... CBO is seeking a dynamic and talented Senior Nurse Auditor . The primary responsibility of the Senior Nurse ...of experience is preferred + CPC, CCS or other coding credentials preferred, but not required + Experience working… more
- R1 RCM (Boise, ID)
- …judgment and knowledge for DRG downgrades performed because of a Clinical Validation Review by an insurer or third-party auditor . + Draft appeal letters ... AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse** , you will help review and...day you will review medical records to ensure appropriate coding of removed or revised diagnosis and procedure codes.… more