- Humana (Providence, RI)
- …**Required Qualifications** + 7+years of DRG Coding + 5 years of Quality Auditing + Medical coding certification from AAPC OR AHIMA (CPC, CCS, ... including offshore and vendor partners, with a focus on DRG audits. You will also drive process improvement initiatives... Team is looking is an experienced and well-grounded medical coding auditor to quality … more
- Highmark Health (Providence, RI)
- …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of ... HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. Reports findings both… more
- Baylor Scott & White Health (Providence, RI)
- …1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 ... Coding references will be used to ensure accurate coding and grouping of classification assignment (eg, MS- DRG...prior experience. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs routine coding quality reviews on all coders including… more
- Humana (Providence, RI)
- …of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group ( DRG ) assignments. ... and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- Brown University (Providence, RI)
- …10 (ICD-9 and ICD 10), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and Diagnosis Related Group ( DRG ) codes + Some ... when adverse events from one medication are misinterpreted as symptoms of a new medical condition and result in the addition of a new unnecessary medication, thereby… more