- Zelis (NJ)
- …this role is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the ... savings achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA… more
- HCA Healthcare (Miami, FL)
- …**This is a fully work from home position.** **This position requires Inpatient Coding and DRG Validation Experience.** **Schedule: Monday-Friday Day Shift** ... If you find this opportunity compelling, we encourage you to apply for our Inpatient Coding Quality Auditor opening. We promptly review all applications. Highly… more
- HCA Healthcare (Nashville, TN)
- …from home position.** **Schedule: Monday-Friday Day Shift** **This position requires DRG Validation and Inpatient Coding experience.** **Benefits** Parallon, ... We care like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **This position is...encourage you to apply for our Coding Quality Audit Reviewer opening. We promptly review all applications.… more
- UTMB Health (Galveston, TX)
- Senior DRG Coder - RCO Coding **Galveston,...and three years of experience. The Sr . DRG coder must be proficient in inpatient coding ... coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG options.… more
- Centene Corporation (New York, NY)
- …to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review , hospital readmission review ... standards. **Education/Experience:** RN Degree. One year experience preferred in hospital inpatient coding. Nursing experience in managed care organization or acute… more
- AdventHealth (Orlando, FL)
- …to all. The Senior Coder demonstrates experience and expertise, so coding quality review is not required before billing. The Senior Coder utilizes years of ... and 125,000 outpatients each year **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical… more
- AdventHealth (Orlando, FL)
- …to all. The Senior Coder demonstrates experience and expertise, so coding quality review is not required before billing. The Senior Coder utilizes years of ... and 125,000 outpatients each year **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical… more
- HCA Healthcare (Nashville, TN)
- …organizations. Apply Today! **Job Summary and Qualifications** As a work from home Inpatient Coding Specialist, you will review and evaluate hospital ... provides satisfaction and personal growth, we encourage you to apply for our Inpatient Coding Specialist opening. We promptly review all applications. Highly… more
- HCA Healthcare (Nashville, TN)
- …Unlock your potential! **Job Summary and Qualifications** As a work from home Inpatient Coding Specialist, you will review and evaluate hospital inpatient ... HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Specialist with Work from Home you can be a part of an… more
- UHS (Binghamton, NY)
- …to learn more. Job Responsibilities: + Assign ICD-10-CM and ICD-10-PCS codes to inpatient diagnoses and procedures, ensuring accurate MS- DRG or APR- DRG ... Position OverviewUnited Health Services (UHS) is seeking an experienced Inpatient Hospital Coder to join our Health Information Management team. In this role, you… more
- WellSpan Health (Chambersburg, PA)
- …accordance with departmental goals for coding turnaround. 5. Selects the most accurate DRG for each inpatient account, maintaining compliance based on approved ... as a medical coder for the Health Information Management Department to review , retrieve, collect, and assign appropriate ICD-10-CM diagnoses codes and ICD-10-PCS or… more
- Penn Medicine (Lititz, PA)
- …compliance with regulations, and accuracy for clinical care analysis and provider profiling. Review coded medical records for coding and DRG accuracy by ... + Position Summary: : Codes and abstracts information from inpatient and outpatient records by careful analysis and adherence...cross training to existing staff as needed. + Research, review and respond to coding and coding quality issues… more
- Geisinger (Danville, PA)
- …The core of the program uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to be coded post ... healthcare services provided to the patient. This is accomplished with the recognition of complete and accurate diagnoses, procedures performed, and the treatment… more
- Houston Methodist (Sugar Land, TX)
- …DRG recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for...Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and… more
- Deloitte (Chicago, IL)
- …nurse, physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, Quality, DRG Validation and health IT ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and… more
- AdventHealth (Orlando, FL)
- …managed care payers. The PA role is responsible for providing physician review of utilization, claims management, and quality assurance related to inpatient ... to the team:** + SCOPE OF RESPONSIBILITY: Responsible for reviewing and authorizing inpatient days and the evaluation of inpatient utilization patterns within… more
- Geisinger (Danville, PA)
- …The core of the program uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to be coded post ... provided to the patient. This is accomplished with the recognition of complete and accurate diagnoses, procedures performed, and...BSN is strongly preferred. Job Duties: + Reviews inpatient medical records within 24-48 hours of admission for… more
- HCA Healthcare (Nashville, TN)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... this role:** + Ensure complete, accurate, timely and consistent coding and DRG /code validation, while adhering to published coding guidelines and Company/HSC policy.… more
- Texas Health Resources (Arlington, TX)
- …Evaluate the effectiveness of internal controls and compliance procedures. Coding & Documentation Review - Assist the audit team with inpatient , outpatient, and ... best practices for areas vulnerable to compliance errors. Denial Support & Case Review - Conduct additional reviews to assist departments handling Medicare, OIG, or… more