- Elevance Health (Los Angeles, CA)
- …be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you will make an ... : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Costa Mesa, CA)
- … Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement ... **Title:** Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )...clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding… more
- Cardinal Health (Sacramento, CA)
- …and conducts investigations to resolve ethics and compliance issues. **Compliance Audit Manager ** Reporting to the Compliance Director, this position ... well as the development and completion of the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all… more
- Sharp HealthCare (San Diego, CA)
- …HCPCs, and/or E/M CPT. **Preferred Qualifications** + Other : Strong background in in ICD-10-CM/PCS coding , DRG coding and CPT coding classification. + ... position provides oversight and maintenance of a high-quality, effective, best practices coding , billing, and reimbursement audit compliance program to prevent… more
- Datavant (Sacramento, CA)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... of healthcare from your own workspace! **Preferred: Seeking Inpatient Audit Specialist. Would like a candidate that is strong...of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR… more
- Datavant (Sacramento, CA)
- … changes with the appropriate manager . + Prepare the final reports for the coding audit and actively participates in the resolution of audit findings. + ... headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in… more
- Ventura County (Ventura, CA)
- …Continuous + Description + Benefits + Questions Description Under direction from the Manager of Health Information Management, the Coding Supervisor will assist ... of coders that are not meeting quality standards; prepare audit reports, audit summary analysis of accuracy...on documentation requirements to establish medical necessity based on coding guidelines for assignment of accurate DRG … more
- Datavant (Sacramento, CA)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... codes from patient records, ensuring precision and adherence to documentation + Oversee and audit the work of Level 1 & 2 Coders, where applicable + Champion… more