- R1 RCM (Detroit, MI)
- …that promotes patient satisfaction and improves financial performance. As the Inpatient Coding and Documentation Auditor II , your primary role will be ... accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. Every...Every day in this role you will: . Review inpatient medical records for validation of DRG assignment .… more
- Veterans Affairs, Veterans Health Administration (IN)
- Summary The Business Office is seeking a full-time Medical Records Technician (Coder) Auditor ( Inpatient ) for the VA Medical Center in Birmingham Alabama. ... Responsibilities The Medical Records Technician (Coder) Auditor is responsible for coding a yearly...such as Clinical Document Improvement Specialist (CDIS) specializing in Inpatient , Outpatient, or both; Auditor ; or Lead… more
- Highmark Health (Jefferson City, MO)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure … more
- Point32Health (SC)
- …Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider documentation of ICD-10-CM (including ... well as CMS and ACA Risk Adjustment guidelines. The Coding Specialist II will lead efforts to...code assignment. Maintains a current and strong understanding of coding rules and CMS guidelines in both inpatient… more
- Immigration and Customs Enforcement (IN)
- …and utilization/case management [e.g., MCG Care Guideline Specialist, Certified Professional Medical Auditor (CPMA), or Certificed Inpatient Coder (CIC)] or must ... utilization management (UM) processes, trainings, and principles to ensure inpatient stays are within DRG limitations and, or, extended...is preferred. Incumbent must possess at minimum a Level II COR 40 hour course certificate or must obtain… more
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