- Insight Global (Plano, TX)
- …more years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN or BSN ... policy bulletins, CMS guidelines, NCDs, and LCDs. Adhere to coding guidelines and Clinical Documentation Improvement (CDI) best practices as endorsed by ACDIS… more
- Elevance Health (Grand Prairie, TX)
- … Auditor ** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. ... DRG Clinical (RN) Validation Auditor **Virtual** :...years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of… more
- CGI Technologies and Solutions, Inc. (Dallas, TX)
- **Remote Senior Inpatient Auditor - MS-DRG & Clinical Validation** **Category:** Analytics and Emerging Digital Technologies **Main location:** United States, ... **Employment Type:** Full Time **Position Description:** CGI is seeking a high-caliber MS-DRG Auditor to join our Healthcare Compliance Team. In this role, you will… more
- Baylor Scott & White Health (Dallas, TX)
- …vary based on position type and/or level **Job Summary** In this job, as a Clinical Auditor RN, you'll perform charge capture accuracy audits by reviewing and ... analyzing clinical documentation from the Electronic Health Record (EHR) compared to patient charges and bills. These audits are intended to review for… more
- Humana (Austin, TX)
- …and appropriateness of procedure codes based on services rendered + Review medical documentation for clinical indicators to ensure specific procedures meet ... our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42910BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for auditing ... compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental leaders to… more
- Humana (Austin, TX)
- …and receives guidance where needed. Follows established guidelines/procedures. + Review medical documentation for clinical indicators to ensure procedures meet ... our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct… more
- Elevance Health (Houston, TX)
- …a Certified Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). + Requires minimum of 10 years ... **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role...Clinics, and the ICD-10 Alphabetic and Tabular Indices), complex clinical guidelines and maintaining objectivity in the performance of… more
- Elevance Health (Grand Prairie, TX)
- …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues ... **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role enables… more
- HCA Healthcare (Houston, TX)
- …want to join an organization that invests in you as an Inpatient Coding Quality Auditor ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality...coding practices and to improve the quality of physician documentation within the body of the medical record to… more