- Elevance Health (Mason, OH)
- Manager of DRG Coding Audit-Program/Project Locations: _The selected candidate must reside within a reasonable commuting distance of the designated posting ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Manager of DRG Coding Audit** leads a high-performing team… 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** **_Virtual_** **_: _** _ _ __...management for the auditing concept, valid claim identification, and documentation purposes (eg, letter writing). + Identifies new claim… more
- Elevance Health (Cincinnati, OH)
- **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training ... to recover, eliminate and prevent unnecessary medical-expense spending. 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
- Elevance Health (Mason, OH)
- …effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 ... adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence to providers regarding coding … more
- Deloitte (Cincinnati, OH)
- …Analyze medical records for inpatient and outpatient service areas for accuracy of coding and documentation to ensure regulatory compliance + Apply knowledge of ... Monitor diagnoses, treatments, and follow-up entries in medical records to lead to coding accuracy + Identify gaps in clinical documentation and request missing… more
- Cardinal Health (Columbus, OH)
- … documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation coding rules; medical terminology; E/M rules; healthcare compliance ... + Plans professional compliance department audits to determine accuracy and adequacy of documentation and coding related to physician or hospital (inpatient and… more
- Oracle (Columbus, OH)
- …Background in a clinical documentation role (medical scribe, clinical documentation specialist, lead/trainer, medical office manager /lead, etc ) Disclaimer: ... and a focus on excellence. As a Senior Clinical Documentation Analyst you will: Analyze clinical workflows across a...partial medical training a plus. + Familiarity of Healthcare coding systems (SnomedCT, ICD 9/10/11) and Health care compliance… more
- PNC (Cleveland, OH)
- …have an opportunity to contribute to the company's success. As an Operations Manager , within PNC's AMG Operations Fees organization, you will be based in Cleveland, ... require time in the office. Some responsibilities may be performed remotely, at the manager 's discretion. The Fee Unit Operations Manager plays a critical role… more