- 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 ... Eligibility for benefits may vary by location._** Come join our team as a DRG Validation Auditor . We care for our community! Just last year, HCA Healthcare… 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 ... of understanding of reimbursement guidelines specifically an understanding of the MS- DRG , AP- DRG , and APR- DRG payment systems. This position is responsible… more
- Elevance Health (Denver, CO)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work ... Shift:** Monday - Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG and APR- DRG )** is… more
- Elevance Health (Tampa, FL)
- ** DRG CODING AUDITOR ** **_Virtual_** **_: _** _...: + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical… more
- Community Health Systems (Franklin, TN)
- …**Essential Functions** + Performs inpatient denial reviews using ICD-10-CM/PCS and DRG validation utilizing appropriate coding references for CHS hospitals ... **Job Summary** The DRG Denials Auditor conducts hospital inpatient...supporting documentation. + Utilizes hospital abstracting system for coding validation when applicable with access to the 3M encoder.… more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about ensuring compliance in healthcare? **UPMC Corporate ... Finance** is looking for a dedicated and meticulous **Compliance Auditor , Associate** to join our team. This role is...appropriate state and federal regulations and standards. + **Code Validation :** Validate the ICD-10-CM, CPT, and HCPCS codes or… more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and ... **UPMC Corporate Compliance** is seeking a dedicated and detail-oriented **Intermediate Compliance Auditor ** to join our team! This position will be based out of… more
- HCA Healthcare (Caldwell, ID)
- …work from home position.** **This position requires Inpatient Coding and DRG Validation Experience.** **Schedule: Monday-Friday Day Shift** **Benefits** Parallon ... by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that we continue...and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Risk Adjustment Clinical Auditor /Analyst position in the Medicare department. This is a full time position working ... Monday through Friday daylight hours and will be fully remote.. The Clinical Auditor /Analyst is an integral part of the Risk Adjustment Department and is responsible… more
- Northwell Health (Westbury, NY)
- …Specialist-Clinical. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes ... and State regulations. 5.Applies coding rules and regulations to the validation review process. 6.Reviews codes on Medicare/non-Medicare charts for compliance to… more
- AdventHealth (Orlando, FL)
- …+ Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS- DRG , APR-DRGs, and overall coding accuracy retrospectively and concurrently. + May ... and reimbursement system and any weakness identified during the coding validation reviews. Qualifications **The expertise and experiences you'll need to succeed**… more
- HCA Healthcare (Falls Church, VA)
- …is fully work from home!** **Schedule: Monday-Friday Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits** Parallon, ... team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews on… more