- Elevance Health (Wilmington, DE)
- ** DRG CODING AUDITOR ** **_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 ** is responsible for auditing inpatient medical… more
- Datavant (Trenton, NJ)
- …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
- St. Luke's University Health Network (Allentown, PA)
- …the Professional Coding (PC) staff to determine data quality and accuracy of coding , billing, and documentation related to DRG 's, CPT, APC's, and HCPCS Level ... II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. JOB DUTIES AND RESPONSIBILITIES: +… more
- St. Luke's University Health Network (Allentown, PA)
- …assigned MS- DRG or APR- DRG for the purpose of appealing proposed DRG and coding changes by insurance providers or their respective auditors JOB DUTIES ... RAC/MIC/QIO and other governmental or commercial payor auditors in retrospective reviews for DRG and documentation or coding -related issues. + Develop and apply… more
- Datavant (Trenton, NJ)
- … 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