Responsibilities Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines... and objectivity in performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines...
Responsibilities Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines... and objectivity in performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines...
, visit EXL USA Healthcare is looking for an Auditor III - DRG Coding. This position is a full-time, work from home... opportunity. In this fully remote position as a DRG Auditor you will apply your expert knowledge of DRG coding and reimbursement...
in MS-DRG validation, APR-DRG validation and clinical validation Experience related to PSI, HAC, and other quality metrics...ABOUT THIS POSITION We are looking for a Revenue Integrity DRG Auditor who has a comprehensive understanding...
, visit EXL USA Healthcare is looking for an Auditor III - DRG Coding. This position is a full-time, work from home... opportunity. In this fully remote position as a DRG Auditor you will apply your expert knowledge of DRG coding and reimbursement...
and commercial payer policy in written and verbal format Strong understanding of claims processing, ICD-10 Coding, DRG Validation... and industry standards in clear and professional written communication. Ability to use clinical judgement and analytical skills...
Anticipated End Date: 2025-02-10 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN... Job Description: Diagnosis Related Group Clinical Validation Auditor-RN Location: This position will work a hybrid model (remote and office...
Anticipated End Date: 2024-12-27 Position Title: Diagnosis Related Group Clinical Validation Auditor-Registered Nurse... Job Description: Diagnosis Related Group Clinical Validation Auditor-Registered Nurse Location: This position will work a hybrid model (remote...
with Medical Directors when clinical validation is required. Ability to summarize APR and MS DRG disputes in writing and cites...The DRG Auditor performs an in-depth review of the medical record to evaluate the diagnostic and procedural information...
with Medical Directors when clinical validation is required. Ability to summarize APR and MS DRG disputes in writing and cites...The DRG Auditor performs an in-depth review of the medical record to evaluate the diagnostic and procedural information...
Audits involving DRG and coding changes. Providing feedback with recommendations for improvement. Accounts Receivable... and participating in testing and validation of code sets, coding and abstracting programs. Supporting scheduled and unscheduled system...
need for comprehensive, accurate and timely clinical documentation Assists with writing compelling appeals to all DRG...Coding Auditor Inpatient - Virtual Work Hours/Shift: Full Time Virtual You Will Be Responsible For: Performs...
opportunity. In this fully remote position as a Clinical Validation Auditor you will apply your expert clinical knowledge in the..., visit EXL USA Healthcare is looking for a CVA Nurse Auditor III - DRG Coding. This position is a full-time, work from home...
, work from home opportunity. Summary: In this fully remote position as a Clinical Validation Auditor... clinical or coding validation audit experience. Prefer candidate with prior DRG retrospective overpayment identification...
Documentation Integrity Quality Auditor JOB SUMMARY: The Clinical Documentation Integrity Quality Auditor is responsible... patient’s severity and complexity of illness. The Clinical Documentation Integrity Quality Auditor will audit records...
, work from home opportunity. Summary: In this fully remote position as a Clinical Validation Auditor... clinical or coding validation audit experience. Prefer candidate with prior DRG retrospective overpayment identification...
, work from home opportunity. Summary: In this fully remote position as a Clinical Validation Auditor... clinical or coding validation audit experience. Prefer candidate with prior DRG retrospective overpayment identification...
. In this fully remote position as a Clinical Validation Auditor you will apply your expert clinical knowledge in the auditing... Healthcare is looking for a CVA Nurse Auditor III - DRG Coding. This position is a full-time, work from home opportunity...
, work from home opportunity. Summary: In this fully remote position as a Clinical Validation Auditor... clinical or coding validation audit experience. Prefer candidate with prior DRG retrospective overpayment identification...
indicators) and coder focused audits. Reviews include full DRG validation, review of assigned ICD-10-CM/PCS, POA indicator...(s), validation of all abstracting elements, review for query opportunities affecting DRG, severity of illness, and/or risk...