- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Manager , Clinical DRG Coding & Validation must have an extensive background in either facility-based nursing and/or ... for performing clinical reviews of medical records and other documentation to evaluate issues of coding and...and other documentation to evaluate issues of coding and DRG assignment accuracy. Ensures that claims are… more
- Highmark Health (Columbus, OH)
- …performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for ... Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code… more
- Banner Health (OH)
- …LCDs (Local Coverage Determinations) prior to referral to coding analyst, coding educator, or coding manager /supervisor. MINIMUM QUALIFICATIONS High ... supported in during initial training by both the Banner Coding Education team and your hiring manager ,...Academic, Trauma and high acuity facilities. Reviews health record documentation and assigns diagnoses and/or surgical procedure codes on… more
- Elevance Health (Mason, OH)
- …clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. ... **DRG CODING AUDITOR** **Location** : _This position will work...management for the auditing concept, valid claim identification, and documentation purposes (eg, letter writing). + Identifies new claim… more
- Elevance Health (Mason, OH)
- **DRG Coding Auditor Principal** _Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach ... onboarding and skill development. Alternate locations may be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on… more
- Datavant (Columbus, OH)
- …monitor, mouse, etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines. + Communicate professionally with co-workers,… more
- Datavant (Columbus, OH)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... coded data for hospital statistical and reporting requirements. + Communicate documentation improvement opportunities and coding issues to appropriate personnel… more
- Datavant (Columbus, OH)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... the development of robust, scalable, and actionable analytics that improve coding outcomes, measure product impact, and support value-based client delivery across… more
- Fresenius Medical Center (Columbus, OH)
- …including mandatory in-services and ICD code training when applicable. Ensures documentation completed for annual in service training, and policy and procedure ... evaluations and establishes annual goals for staff. + Provides written documentation of all disciplinary conferences in accordance with the established personnel… more
- Elevance Health (Mason, OH)
- …accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by recognizing aberrant coding and ... DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred. + Broad knowledge of clinical documentation … more