- 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 (Richmond, VA)
- …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
- Elevance Health (Hanover, MD)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work virtually ... required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… 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
- Waystar (Atlanta, GA)
- **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...validation + Experience related to PSI, HAC, and other quality metrics is a plus **Education/Certification** + CCS, CPC,… more
- HCA Healthcare (Chattanooga, TN)
- …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
- AdventHealth (Tampa, FL)
- …Stroke Association as a Primary Stroke Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the ... is responsible for the daily auditing of records. The Inpatient Coding Quality Auditor works...Reviews and addresses all third party/Regulatory Agencies requests for DRG changes or quality studies. . Reviews… more
- AdventHealth (Orlando, 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 (Houston, TX)
- …live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis ... co-morbid conditions and complications, secondary conditions and procedures. + Assists with quality reviews of outpatient or inpatient accounts and/or training… 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
- Highmark Health (Helena, MT)
- …techniques, medical terminology and disease processes as it relates to the DRG /APC and other clinical data quality management factors. With technical ... and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs,… 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
- MedKoder (Mandeville, LA)
- …and led by a medical coding veteran, the company offers services including inpatient and outpatient facility coding, medical risk adjustment management, DRG ... work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty… 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
- Datavant (Raleigh, NC)
- …our bold vision for healthcare. **What We're Looking For:** As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and educational ... needs related to coding quality , compliance assessments, external payer reviews, coding education, and...of healthcare from your own workspace! Preferred: Strong IP Auditor 3+ years experience, Cerner/3M a plus. Must have… more
- NCH (Naples, FL)
- …Integrity Specialist for educational opportunities/outcomes. * Collaborates with CDI liaison/ quality auditor when educational needs are identified from ... of locations throughout Southwest Florida that offer nationally recognized, quality health care. NCH is transforming into an Advanced...as a liaison between coding and CDI to resolve DRG or other code discrepancies, collaborate with CDI Liaison… more
- HCA Healthcare (Brownsville, TX)
- …fully remote/work from home!** **Schedule: Monday-Friday Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits** ... **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible...Auditor , you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center… more
- Houston Methodist (Houston, TX)
- …(includes CPT) (for inpatient /outpatient coding) coding classification systems + For inpatient /outpatient coding: MS- DRG , APR DRG and APC assignment ... of the coding program including assisting with student recruitment. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** + Develops instructional materials to include course… more