- Elevance Health (Houston, TX)
- ** DRG Coding Auditor Principal** **_Virtual: _** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG Coding Auditor Principal** is responsible for auditing inpatient… more
- Elevance Health (Grand Prairie, TX)
- …medical-expense spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS- DRG , AP- DRG , ... candidates reside within a commuting distance from an office.** The ** DRG Coding Auditor ** is responsible for auditing inpatient medical records and generating… more
- 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 ... DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group ( DRG ) validation and… more
- Elevance Health (Houston, TX)
- **Title:** Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG and APR- DRG ) **Virtual:** This role enables associates to work ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
- Humana (Austin, TX)
- …caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding/ DRG requests. Responds promptly to Business Office requests to code or… more
- Datavant (Austin, TX)
- …reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs. + Provides rich and concise rationale explaining the ... and/or auditing. + CCS (preferred), RHIA or RHIT preferred + Maintain 95% DRG accuracy rate + Experience with various software including Epic, Cerner, and other… more
- Datavant (Austin, TX)
- …you to help shape the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma Level 1 facility. SMART software ... medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding… more
- Houston Methodist (Houston, TX)
- …(AAPC) -- (CBO Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates ... CPT) (for inpatient/outpatient coding) coding classification systems + For inpatient/outpatient coding: MS- DRG , APR DRG and APC assignment systems + Official… more
- Texas Health Resources (Arlington, TX)
- …management correction plans when necessary. Additionally, the Compliance Auditor Manager effectively communicates audit findings through reports, presentations, ... solutions for complex compliance and coding challenges. Extensive knowledge of MS DRG , APC, ICD-10-CM/PCS, CPT, HCPCS coding, modifiers, NCCI edits, and official… more