- University Hospital New Jersey (Newark, NJ)
- Responsibilities The primary purpose of the Inpatient Coding Data Quality Auditor /Educator is to ensure the consistent processing of claims and collection of data to ... optimize DRG reimbursement and produce quality data that accurately reflects...in ICD-9 and ICD-10 diagnosis and procedure coding and DRG assignment, preferably in a tertiary care, teaching environment… more
- University Hospital New Jersey (Newark, NJ)
- Responsibilities The Corporate Compliance Program Manager and Auditor serves as a resource to assist the Chief Compliance Officer with activities related to ... Outpatient prospective Payment Systems (IPPS/OPPS), Medical Severity Diagnosis‐Related Groups (MS‐ DRG ), and National Correct Coding Initiative Edits (NCCI Edits).… more
- ChristianaCare (Wilmington, DE)
- ChristianaCare is searching for a Corporate Compliance & Privacy Auditor to join the team.This position will execute moderate-to-complex level audits and participate ... to be maintained as a condition of employment) Certified Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist… more
- Waystar (AR)
- **ABOUT THIS POSITION** We are looking for a Revenue Integrity DRG Auditor who has a comprehensive understanding of hospital Revenue Cycle Management. ... Significant experience in the following areas: hospital inpatient coding, DRG assignment, charge capture, and hospital reimbursement methodologies. The candidate… more
- Hackensack Meridian Health (Hackensack, NJ)
- …this includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency ... and serve as a leader of positive change. The **Diagnosis Related Group ( DRG ) Auditor ** is responsible for auditing clinical documentation that supports code… more
- HSS (New York, NY)
- …to our Mission, you too can be part of our transformation across the enterprise. DRG Reviewer Full-Time The DRG Reviewer reports to the Director of Coding, HIM ... (Health Information Management). The DRG Reviewer oversees DRG accuracy. The ...a diverse patient population such as a coder, coding auditor or coding instructor. + Knowledge and understanding of… more
- HCA Healthcare (Nashville, TN)
- …where diversity and inclusion thrive? Submit your application for our Coding Quality Review DRG Specialist opening with Work from Home today and find out what it ... by location._** We are seeking a Coding Quality Review DRG Specialist for our team to ensure that we...apply! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for performing internal quality… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and serve as a leader of positive change. The **Coding Quality Auditor ** is responsible for monitoring compliance with applicable clinical documentation to support ... (HMH) Network. **Responsibilities** A day in the life of a **Coding Quality Auditor ** at Hackensack Meridian Health includes: + Reviews Diagnosis Related Group (… more
- Highmark Health (Jefferson City, MO)
- …II code and modifier assignments, ICD diagnosis and procedure coding, DRG /APC structure according to regulatory requirements. Reports findings both verbally and ... systems, missed secondary diagnoses and procedures and ensures compliance with DRG /APC structure and regulatory requirements. Performs periodic claim form reviews to… more
- UPMC (Pittsburgh, PA)
- **UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team!** The Intermediate Clinical Auditor /Analyst is an ... resource utilization. This includes using vast clinical knowledge to ensure correct DRG procedural and diagnosis codes have been used appropriately on claims. This… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) ... coding or professional E/M coding in the following coding systems: ICD-10-CM/PCS, DRG , CPT& HCPCs, and/or E/M CPT. **Preferred Qualifications** + Other : Strong… more
- R1 RCM (Salt Lake City, UT)
- …satisfaction and improves financial performance. As the Inpatient Coding and Documentation Auditor II, your primary role will be auditing inpatient cases for ... DRG validation and/or documentation improvement. This consists of reviewing...accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. Every… more
- R1 RCM (Boise, ID)
- As the Inpatient Coding and Documentation Auditor I, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This ... systems to validate the accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. Everyday in this role you… more
- AdventHealth (Altamonte Springs, FL)
- …you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the inpatient or outpatient coding ... to achieve industry best practice levels of performance. The Corporate Quality Auditor will adhere to AdventHealth Corporate Compliance standards, as well as rules… more
- Wood County Hospital (Bowling Green, OH)
- The Coding Auditor /Denial Analyst accurately and efficiently audits and analyzes medical records, charge sheets and reports to ensure in the coordination of proper ... coding/billing. Serves as an internal auditor and educates on findings. Manages all aspects of...for all inpatient and outpatient records to include ICD-10-CM/PCS, DRG , ROM/SOI/APR- DRG , CPT/APC, E&M coding and assignment… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** ** DRG Inpatient Audit Coder** **Are you looking for a work environment where diversity and inclusion thrive? Submit your application ... for our Inpatient Coding Auditor opening with Parallon today and find out what...vary by location._** **We are seeking a Inpatient Coding Auditor for our team to ensure that we continue… more
- UNC Health Care (Chapel Hill, NC)
- …the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as ... severity of illness, and risk of mortality. Assures accurate assignment of Working MS- DRG , ICD-10-CM/PCS codes and CPT codes in accordance with the Official Coding… more
- Northwell Health (Lake Success, NY)
- …Medical Record. Job Responsibility + Leverages clinical expertise to identify and validate DRG code assignment + Full review of CDI suggested code changes + ... codes on Medicare/non-Medicare charts for compliance to rules and conventions. + Communicates DRG changes and rationale to the coding and CDI staff. + Identifies… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, June 3, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... for workflow enhancements. + Evaluates Prospective Payment System (PPS) (eg APC, DRG , etc.) grouping and pricing information. + Meets individual and departmental… more
- Sutter Health (San Francisco, CA)
- …the CDI Coding Quality Liaison Serves as a Diagnosis Related Group ( DRG ) expert, supporting clinical documentation initiatives across their assigned market areas. ... redundancy and ensuring a streamlined process for efficient final DRG assignment + In conjunction with the CDI Educator...+ In conjunction with the CDI Educator / Quality Auditor , utilizes commonly encountered SLR request subject matter, along… more
