- Elevance Health (Chicago, IL)
- ** DRG Coding Auditor Principal** **_Virtual: _** _ _ This role enables associates to work virtually full-time, with the exception of required in-person ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG Coding Auditor Principal** is responsible for auditing inpatient… more
- Elevance Health (Chicago, IL)
- …unnecessary medical-expense spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS- DRG , AP- ... if candidates reside within a commuting distance from an office.** The ** DRG Coding Auditor ** is responsible for auditing inpatient medical records and… more
- Elevance Health (Chicago, IL)
- … Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG ...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
- Humana (Springfield, IL)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...least one of these qualifications for 4 years) * MS- DRG coding /auditing experience * Experience reading and… more
- Humana (Springfield, IL)
- …an in-depth evaluation of variable factors. The Inpatient Medical Coding Auditor confirms appropriate diagnosis related group ( DRG ) assignments upon appeal. ... and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical...paced, metric driven operational setting + Experience in APR DRG coding /auditing **Additional Information** **Work at Home… more
- Carle Health (Champaign, IL)
- Overview The Autonomous Coding Implementation Analyst is responsible for supporting and monitoring theimplementation, accuracy, and optimization of the hospital's ... autonomous coding (AC) solution. Thishybrid position combines coding ...or system issuesEnsure compliance with ICD-10 CM, CPT/HCPCS, and DRG guidelinesSupport internal and external audits and provide staff… more
- Datavant (Springfield, IL)
- …Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. + Provides rich and ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- Datavant (Springfield, IL)
- … coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more