- Humana (Montpelier, VT)
- …**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
- Elevance Health (St. Louis, MO)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The ** DRG Coding Auditor** is responsible ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company,... DRG assignment accuracy. Specializes in review of DRG coding via medical record… 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 ... + Coordinates remediation when required. + Coordinates with the Coding leadership, Quality nurses and the CDS...an acute care setting. + Previous experience in performing DRG coding audits. + Possesses knowledge of… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Coding Quality Inpatient MS- DRG Auditor? At Work from Home, you come ... make a difference. We are looking for a dedicated Coding Quality Inpatient MS- DRG Auditor...+ Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical… more
- Insight Global (Miami, FL)
- Job Description Insight Global is looking to hire 2 remote Inpatient DRG Coding Specialists for a healthcare provider in the South Florida area. We are seeking a ... detail-oriented and experienced Inpatient DRG Coding Specialist to join our Health...team. The ideal candidate will be responsible for accurately coding inpatient medical records using ICD-10-CM/PCS codes… more
- Mount Sinai Health System (New York, NY)
- …the attending physician's description and the information contained in the beneficiary's medical record. Responsible for performing quality reviews of medical ... CRM reviews the physician documentation for specificity, completeness and quality to support coding accuracy, and to...in conjunction with the Associate Director and Director of DRG Validation to help develop coding education… more
- Zelis (TX)
- …clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA Coding Clinic ... Quality Assurance reviews to determine accuracy of the DRG billed, based on industry standard coding ...medical best practice, etc. + Implement and conduct quality assurance program to ensure accurate results to our… more
- Waystar (Atlanta, GA)
- …Cycle Management. Significant experience in the following areas: hospital inpatient coding , DRG assignment, charge capture, and hospital reimbursement ... clinical documentation based on physician documentation, UHDDS guidelines and official coding guidelines using proprietary technology and medical records +… more
- CVS Health (Sacramento, CA)
- …in support of medical management programs to promote the delivery of high quality , constituent focused medical care with a focus on clinical and payment ... environment. In addition, be a subject matter expert in DRG reviews and ICD-10 code selection. This Medical...expert to identify and promote opportunities to improve the quality and efficiency of health care services. ◾Apply clinical… more
- South Central Regional Medical Center (Laurel, MS)
- …and continual learning of coding skills is necessary to provide SCRMC with quality coding . Job Duties: + Assign appropriate code for all records (Inpatient ... Admission indicators is also necessary to ensure the most accurate DRG is captured. + Inpatient coding steers reimbursement and the case mix for the facility. +… more