- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship, development, leadership programs and more! **Description** We are seeking an experienced ** Inpatient DRG Coding Auditor ** to extract data from ... encounters ensuring the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits… more
- Elevance Health (Atlanta, GA)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work virtually ... -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG and...-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** is responsible for auditing inpatient medical… more
- Elevance Health (Hanover, MD)
- …eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating ... ** DRG CODING AUDITOR ** **_Virtual_** **_: _**...and generate audit findings letters. + Maintains accuracy and quality standards as set by audit management for the… more
- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in ... and APR- DRG payment systems. This position is responsible for auditing inpatient medical records and generating high- quality recoverable claims for the… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for ... to improve coding practices and compliance. **Essential Functions** + Performs inpatient denial reviews using ICD-10-CM/PCS and DRG validation utilizing… more
- HCA Healthcare (Nashville, TN)
- …patients with purpose and integrity. We care like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **This position is a fully work ... from home position.** **Schedule: Monday-Friday Day Shift** **This position requires DRG Validation and Inpatient Coding experience.** **Benefits** Parallon,… more
- Insight Global (Plano, TX)
- …The DRG Revenue Integrity Auditor will perform Diagnostic Related Group ( DRG ) validation and quality audits on inpatient charts to ensure accurate ... more years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). Prior experience of working as a… more
- HCA Healthcare (Miami, FL)
- …worth of each individual is recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work ... from home position.** **This position requires Inpatient Coding and DRG Validation Experience.** **Schedule:...benefits may vary by location._** We are seeking an Inpatient Coding Quality Auditor for… more
- Highmark Health (Harrisburg, PA)
- …techniques, medical terminology and disease processes as it relates to the DRG /APC and other clinical data quality management factors. With technical ... :** Allegheny Health Network **Job Description :** **_*This role will cover Inpatient Auditors and will require Inpatient (AHIMA) credentials._** **GENERAL… more
- AdventHealth (Tampa, FL)
- …generations to come. Awarded the Get With The Guidelines Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and ... you'll contribute:** Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is...Reviewer is responsible for validating the coding performed by inpatient or outpatient coders. Random and/or target samples are… more
- AdventHealth (Maitland, FL)
- …year **The role you'll contribute:** Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible for validating the ... coding performed by inpatient or outpatient coders. Random and/or target samples are...**The value you'll bring to the team:** + Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS,… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... co-morbid conditions and complications, secondary conditions and procedures. + Assists with quality reviews of outpatient or inpatient accounts and/or training… more
- AdventHealth (Altamonte Springs, FL)
- …role you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the inpatient or ... required to achieve industry best practice levels of performance. The Corporate Quality Auditor will adhere to AdventHealth Corporate Compliance standards, as… more
- Sharp HealthCare (San Diego, CA)
- …*This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance ... audit program. The position provides oversight and maintenance of a high- quality , effective, best practices coding, billing, and reimbursement audit compliance… more
- Cleveland Clinic (Cleveland, OH)
- …one of the most respected healthcare organizations in the world. As a Coding Quality Auditor , you will be responsible for assessing the accuracy and completeness ... Records, procedural cases and surgical cases, including pre-bill coding, DRG and APC quality audits, case mix...Two years of progressive on-the-job experience as a coding quality auditor in a health care environment… more
- UPMC (Pittsburgh, PA)
- …CPT, Modifiers, etc.). + Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about...and HCPCS codes or CPT and HCPCS ICD-10-CM-PCD and DRG assignment appropriateness to ensure consistency and efficiency in… more
- UPMC (Pittsburgh, PA)
- …CPT, Modifiers, etc.). + Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and… more
- UNC Health Care (Chapel Hill, NC)
- …the unique communities we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities ... position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity...and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and… more
- Centene Corporation (New York, NY)
- …conducting training and quality auditing programs for the Diagnosis Related Group ( DRG ) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding ... Auditor & Trainer position is primarily remote with a...with all policies and standards **Highly Preferred Skills:** + Inpatient Coding Experience + At least 1 year of… more
- Avera (Sioux Falls, SD)
- …departments and billing offices with ICD-10, CPT, and HCPCS coding review, DRG and APC reimbursement, and coordination of information between medical record and ... billing departments. A successful Auditor assists in the organization and presentation of educational workshops and seminars for Avera, including non-Avera… more