between $62,500 to $119,700 annually based on experience The DRG Validation Clinical Auditor acts as a subject matter expert to educate, train... and accuracy in capturing severity of illness, risk of mortality and clinical validation. Determines if professionally recognized...
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...
between $62,500 to $119,700 annually based on experience The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits.... Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG assignment and clinical...
Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records... determinations and rationale. Applies clinical review judgment to make coding validation determinations including sequencing ICD-10...
Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records... determinations and rationale. Applies clinical review judgment to make coding validation determinations including sequencing ICD-10...
. In this fully remote position as a Clinical Validation Auditor you will apply your expert clinical knowledge in the auditing... for DRG coding review. Responsibilities: Conduct MS-DRG and/or APR-DRG clinical reviews to verify the accuracy of the DRG...
charges are supported by the appropriate clinical documentation, review medical records, and document findings in Cotiviti... and applying knowledge related to billing and coding guidelines searching for billing, coding and unsupported (or clinical...
Description : CERIS is seeking a DRG Coder/Clinical Auditor. The Diagnostic Related Groups (DRG) Clinical Auditor... will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine...
is hiring a CVA Auditor III 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...
& Performance leadership and Conifer Compliance as warranted. The Auditor will perform analysis on clinical documentation... standards and protocols. Performs reviews of accounts denied for DRG validation and DRG downgrades. Documents in appropriate...
Join UPMC Corporate Compliance as a Senior Compliance Auditor! Are you passionate about ensuring accuracy... a significant impact? UPMC Corporate Compliance is seeking a dedicated and detail-oriented Senior Compliance Auditor...
coding position, assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff...Responsibilities The Outpatient Coder Auditor Trainee reviews and analyzes documentation present in the medical...
responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality... Coder Auditor Trainee reviews and analyzes documentation present in the medical record for outpatient visits to ensure...
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...
is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data... coding. Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate...
and Essential Functions: DRG Validation, RAC and Government Entity Reviews, Appeals, Overpayment Review Functions Investigate... documentation to ensure coders have appropriate coding and DRG assignment, discharge disposition, admit and discharge dates...
to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation..., methodology, and tools for accurately coding. Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records...
utilizing their clinical validation and coding expertise. The Auditor/Educator will provide guidance on documentation... to join our team. This is a remote position that requires residency in KY or IN Clinical Documentation Auditor/Educator...
comprehensive, clinical secondary reviews of targeted patient populations to include cases with DRG and/or code discrepancies... Clinical Documentation Specialist for follow-up and query initiation. Collaborates with CDI educator/quality auditor when...
for clinical and coding denials that are received from the insurer/auditor. Work collaboratively with all members of the Memorial... Healthcare team, Clinical Documentation Integrity (CDI), Coding and Revenue Cycle teams to initiate and resolve Clinical DRG...