- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a Coding Quality Inpatient MS- DRG Auditor ? At Work from Home, you come first. HCA Healthcare has committed ... to make a difference. We are looking for a dedicated Coding Quality Inpatient MS- DRG Auditor like you to be a part of our team. **Job Summary and… more
- Waystar (Atlanta, GA)
- **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
- Elevance Health (St. Louis, MO)
- ** DRG Coding Auditor (DIAGNOSTIC RELATED GROUP)** _This position will work virtually._ _Alternate locations may be considered._ _The Ideal candidate must live ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG Coding Auditor ** is responsible for auditing inpatient medical… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring ... the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition. +...+ Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG . + Reviews… more
- Humana (Montpelier, VT)
- …Management organization, including offshore and vendor partners, with a focus on DRG audits. You will also drive process improvement initiatives and develop ... a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns… 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
- TEKsystems (Atlanta, GA)
- …which will require them to pass an EPIC assessment. Afterwards, they will work with the DRG Auditor and Coding Manager via Zoom to go over the system and ... purposes. - Will not query if it doesn't effect DRG or if CDI does a query, but they...for everything else. - Quality standard: 95% (meet) on DRG is what reviews are done on/96-97% is exceeds,… more
- Elevance Health (Columbus, GA)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Compliance as a Senior Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and billing? ... impact? UPMC Corporate Compliance is seeking a dedicated and detail-oriented **Senior Compliance Auditor ** to join our team! This position will be based out of… more
- Highmark Health (Charleston, WV)
- …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