- R1 RCM (Chicago, IL)
- …CPT and E/M coding as demonstrated through work experience as a medical coding auditor for inpatient , outpatient, profee, and facility encounters For ... sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Coding Auditor ** , you will help ensure accurate medical coding … more
- Elevance Health (Chicago, IL)
- …eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...**DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ _This...Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient… more
- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related… more
- Highmark Health (Springfield, IL)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned… more
- Elevance Health (Chicago, IL)
- …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... - Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
- R1 RCM (Chicago, IL)
- …our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of reviewing accounts ... accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. **Every...**Every day in this role you will:** + Review inpatient medical records for validation of DRG assignment +… more
- R1 RCM (Chicago, IL)
- …Payment Classification (APC), Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative (NCCI) edits, and Inpatient Prospective Payment ... costs and enhancing the patient experience. As our ProFee Coding QA Mentor/Trainer, you will help mentor new coders...At least 1 year of experience as a quality auditor is preferred. For this US-based position, the base… more