- ChristianaCare (Wilmington, DE)
- …hold a CCDS or CPC will be given consideration but will need to obtain an inpatient coding certification within 1 year of their hire date with the company. ... and modifiers for facility-based and provider-based clinical documentation, medical necessity, and/or inpatient coding and has a high level of understanding in… more
- Waystar (AR)
- …of hospital Revenue Cycle Management. Significant experience in the following areas: hospital inpatient coding , DRG assignment, charge capture, and hospital ... THIS POSITION** We are looking for a Revenue Integrity DRG Auditor who has a comprehensive understanding...and research skills + In depth knowledge related to coding hospital inpatient record types, clinical documentation,… more
- HCA Healthcare (Nashville, TN)
- …a work environment where diversity and inclusion thrive? Submit your application for our Inpatient Coding Auditor opening with Parallon today and find out ... **Description** **Introduction** ** DRG Inpatient Audit Coder** **Are you...benefits may vary by location._** **We are seeking a Inpatient Coding Auditor for our… 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 ... accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. Everyday...and DRG reimbursement experience, with recent acute inpatient coding experience Nice to have: +… more
- R1 RCM (Salt Lake City, UT)
- …cycle - one that promotes patient 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
- HCA Healthcare (Nashville, TN)
- …as we do. We want you to apply! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for performing internal quality ... diversity and inclusion thrive? Submit your application for our Coding Quality Review DRG Specialist opening with...(routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs… more
- Hackensack Meridian Health (Hackensack, NJ)
- …the 3M coding computer system. + Assists and provides feedback to the Inpatient HIM Supervisor and Inpatient Coding Manager with education sessions for ... and serve as a leader of positive change. The ** Coding Quality Auditor ** is responsible for monitoring...Attends monthly coding in-services provided by the Inpatient Coding Educator. + Assists the … more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **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
- Highmark Health (Jefferson City, MO)
- …HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. Reports findings both ... or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned...In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG /APC… more
- Wood County Hospital (Bowling Green, OH)
- …and analysis. Job Duties: + Provide coding audit services for all inpatient and outpatient records to include ICD-10-CM/PCS, DRG , ROM/SOI/APR- DRG , ... The Coding Auditor /Denial Analyst accurately and efficiently audits and analyzes medical records, charge sheets and reports to ensure in the coordination of… 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 ... Virginia, Wisconsin and Wyoming.** Summary: This position trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities… more
- Northwell Health (Lake Success, NY)
- …Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. + Communicates DRG changes and rationale to the coding and CDI staff. + ... but considered related are not essential functions. Preferred Skills + Hospital coding and auditing experience + DRG (diagnosis-related groups) Validation +… more
- HSS (New York, NY)
- …for optimal reimbursement by the organization, while also ensuring compliant and accurate inpatient coding . PRIMARY RESPONSIBILITIES + Monitors coding and ... across the enterprise. DRG Reviewer Full-Time The DRG Reviewer reports to the Director of Coding...of a diverse patient population such as a coder, coding auditor or coding instructor.… more
- Hackensack Meridian Health (Hackensack, NJ)
- …includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and ... and serve as a leader of positive change. The **Diagnosis Related Group ( DRG ) Auditor ** is responsible for auditing clinical documentation that supports code… more
- AdventHealth (Altamonte Springs, FL)
- …: **Remote** **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the ... . Expert level knowledge of Medicare Severity Diagnosis-Related Groups (MS- DRG ), and All Patient Refined Diagnosis-Related Groups (APR ...Five (5) years of inpatient or outpatient coding or Coding Quality Auditor … more
- Scottish Rite for Children (Dallas, TX)
- …education with physicians, fellows, residents, allied health staff and working closely with Internal Coding Auditor and HIM coding staff + Collaborates with ... documentation of diagnoses and procedures for accurate assignment of DRG /APR- DRG , that have an impact on severity...in an acute care hospital and clinic setting + Inpatient Coding preferred. + Demonstrates ability to… more
- MD Anderson Cancer Center (Houston, TX)
- …of institutional coding policies and procedures; maintains knowledge of ICD-10-CM, PCS, DRG , SOI, ROM and CPT-4 coding guidelines according to CMS, AMA, AHA ... Healthcare Administration, or related healthcare field. **Required Experience:** Five years of inpatient /outpatient coding to include two years of coding … more
- Penn Medicine (Bala Cynwyd, PA)
- …(Preferably HIM or related field) + 5+ years of experience in a related field ( inpatient and outpatient hospital coding , DRG and APC analysis, statistical ... CDM Maintenance Team. **Accountabilities** Direct an efficient audit plan inclusive of inpatient DRG , outpatient APC, home health/hospice agencies and … more
- LA Care Health Plan (Los Angeles, CA)
- …but not limited to ICD9, ICD10, HCPCS, DRG , APC and other inpatient and outpatient coding systems. An advanced knowledge of contractual pricing mechanisms ... and trend the metrics associated with the examiner and auditor production and prepare and present written and verbal...and claims data analysis. Advanced working knowledge of claims coding and medical terminology. An in-depth knowledge of claims… more
