- 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 ... the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and...an acute care setting. + Previous experience in performing DRG coding audits. + Possesses knowledge of… more
- Elevance Health (Hanover, MD)
- ** DRG CODING AUDITOR ** **_Virtual_**...medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical ... DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending...Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient… 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 ... discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible...coding practices and compliance. **Essential Functions** + Performs inpatient denial reviews using ICD-10-CM/PCS and DRG … more
- Elevance Health (Las Vegas, NV)
- …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical...Experience with third party DRG Coding and/or Clinical Validation Audits or… more
- Insight Global (South Jordan, UT)
- … knowledge ( DRG & ICD-10) Registered Nurse RN (must be inpatient ) WITH coding /clinical documentation certification (2 years in clinical documentation) OR ... Job Description Insight Global is seeking a DRG Validation Auditor for one of...extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level… more
- HCA Healthcare (Nashville, TN)
- …organizations. Apply Today! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing ... We care like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **This...home position.** **Schedule: Monday-Friday Day Shift** **This position requires DRG Validation and Inpatient Coding … more
- Highmark Health (Harrisburg, PA)
- …HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. Reports findings both ... Health Network **Job Description :** **_*This role will cover Inpatient Auditors and will require Inpatient (AHIMA)...In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG /APC… more
- HCA Healthcare (Miami, FL)
- …We want you to apply! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal ... is recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon....a fully work from home position.** **This position requires Inpatient Coding and DRG Validation… 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 ... reflect the patient's clinical picture. Utilize ICD-10-CM and ICD-10-PCS coding systems to ensure proper code sequencing and accuracy....acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS).… more
- AdventHealth (Maitland, FL)
- … Quality Manager, the Data Quality Reviewer is responsible for validating the coding performed by inpatient or outpatient coders. Random and/or target samples ... + Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS- DRG , APR-DRGs, and overall coding accuracy retrospectively and concurrently. +… more
- Sharp HealthCare (San Diego, CA)
- …practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's ... Qualifications** + Other : Strong background in in ICD-10-CM/PCS coding , DRG coding and CPT... ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of… more
- Houston Methodist (WA)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding / DRG requests. Responds promptly to Business Office requests to code… more
- UNC Health Care (Chapel Hill, NC)
- …Abilities Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG , hierarchical condition categories (HCC), and CDI ... the unique communities we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities… more
- Datavant (Dover, DE)
- …and leadership skills **What You Need to Succeed:** + 5+ years of facility inpatient coding experience and/or auditing. + CCS (preferred), RHIA or RHIT preferred ... your own workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope...of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR… more
- Northwell Health (Glen Cove, NY)
- …6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the coding and CDI staff. ... **Req Number** 170622 Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information...Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code… more
- UPMC (Pittsburgh, PA)
- …Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M ... auditing, billing and compliance. + Knowledge of CMS and third-party payer coding , billing, and documentation compliance regulations preferred (MS- DRG , APR-… more
- UPMC (Pittsburgh, PA)
- …Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M ... auditing and compliance. + Extensive knowledge of CMS, and third-party payer coding , billing, and documentation compliance regulations required (MS- DRG , APR-… more
- Veterans Affairs, Veterans Health Administration (Montgomery, AL)
- …codes, MS- DRG , POA status, and discharge disposition values for inpatient health records. Audit accurate and complete assignment of ICD-10-CM, CPT, and HCPCS ... code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases… more
- Veterans Affairs, Veterans Health Administration (North Charleston, SC)
- …codes, MS- DRG , POA status, and discharge disposition values for inpatient health records. Audits accuracy and completeness of assigned of ICD-10-CM, CPT, ... offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records, and assign… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …codes, MS- DRG , POA status, and discharge disposition values for inpatient health records. Audit accurate and complete assignment of ICD-10-CM, CPT, and ... codes, MS- DRG , POA status, and discharge disposition values for inpatient health records. Audit accurate and complete assignment of ICD-10-CM, CPT, and… more