between $62,500 to $119,700 annually based on experience The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits... of coding experience. 3+ years of facility coding audit experience (such as DRG and APC Validation). Proficiency in multiple...
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 complete documentation for coding and the capture of severity, acuity, and risk of mortality and most accurate Diagnosis...
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...
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...
Job Description: JOB SUMMARY The CRC Auditor, conducts coding and documentation quality reviews and generates... standards and protocols. Performs reviews of accounts denied for DRG validation and DRG downgrades. Documents in appropriate...
Facility: VIRTUAL-GA Job Summary: The Lead Coding Services Auditor is responsible for conducting prebill... indicators) and coder focused audits. Reviews include full DRG validation, review of assigned ICD-10-CM/PCS, POA indicator...
coding. Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate...) Job Description: JOB SUMMARY Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment...
documentation to ensure coders have appropriate coding and DRG assignment, discharge disposition, admit and discharge dates... and Essential Functions: DRG Validation, RAC and Government Entity Reviews, Appeals, Overpayment Review Functions Investigate...
, methodology, and tools for accurately coding. Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records... reimbursement and/or MS-DRG assignment. Adheres to Standards of Ethical Coding (AHIMA).Reviews medical records to determine accurate...
. 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...
claims. Apply clinical judgment and knowledge for DRG downgrades performed because of a Clinical Validation Review... analytics, AI, intelligent automation, and workflow orchestration. As our Clinical Coding Appeals Nurse, you will help review...
review, medical coding (CPT, ICD-9) or appeals and grievances. Experience in DRG auditing preferred. Coding certification...Responsibilities Inpatient Audits (Prepayment & Retrospective) Performs billing and coding audits to ensure...
clinical or coding validation audit experience. Prefer candidate with prior DRG retrospective overpayment identification... is hiring a CVA Auditor III Summary: In this fully remote position as a Clinical Validation Auditor...
required (MS-DRG, APR-DRG, APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). Knowledge of coding/classification systems...Join UPMC Corporate Compliance as an Intermediate Compliance Auditor! Are you passionate about ensuring accuracy...
. Extensive knowledge of CMS, and third-party payer coding, billing, and documentation compliance regulations required (MS-DRG..., APR-DRG, APC, APG, or ICD10-CM, HCPCS, CPT, Modifiers, etc.). Knowledge of coding/classification systems appropriate...
compliance regulations preferred (MS-DRG, APR-DRG, APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). Knowledge of coding...Join UPMC Corporate Finance as a Compliance Auditor, Associate! Are you detail-oriented and passionate about ensuring...
performance. As our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG validation and/or documentation... you will: Review inpatient medical records for validation of DRG assignment Provide detailed rationale and supporting evidence...
coding position, assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff... Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Outpatient Coder Auditor Trainee finalizes the...
will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine...Description : CERIS is seeking a DRG Coder/Clinical Auditor. The Diagnostic Related Groups (DRG) Clinical Auditor...