- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in ... either facility-based nursing, clinical documentation, and/or inpatient coding and has a high...client and their clients. They are responsible for performing clinical reviews of medical records and other documentation to… more
- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- …that categorizes all VA patients into specific classes representing their clinical conditions and resource needs. Monitors regulatory and policy requirements ... consults with the professional staff for clarification of conflicting or ambiguous clinical data. Searches the patient record to find documentation justifying code… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** We are looking for a Revenue Integrity DRG Auditor who has a comprehensive understanding of hospital Revenue Cycle Management. Significant ... performance goals + Validate code and DRG assignment and supporting clinical documentation based on physician documentation, UHDDS guidelines and official coding… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and education for professional ... data for all pertinent internal and external audits. + Collaborates with clinical and administrative staff and leadership to ensure audit results are disseminated… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring the accuracy of DRGs. ... and abstracted data POA, Discharge Disposition. + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. + Reviews… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete ... focus audits and reports findings. + Serves as a clinical resource for coding / denial management and customer...Participates as a member of the chargemaster team, providing clinical support and expertise on compliance related charge functioning.… more
- Guthrie (Sayre, PA)
- Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and procedures and accepted guidelines for ... Physician coding and billing and/or compliance field required 5 year of clinical experience and/or knowledge and understanding of Medical Records auditing process… more
- Insight Global (Houston, TX)
- …A large healthcare employer in Houston, TX is seeking a Physician Educator & Auditor to join their growing team. This team will consist of provider auditors and ... documentation is correct and effective from a coding and clinical perspective. The ideal candidate needs to be comfortable...to help educate them on the best practices for clinical documentation and be able to answer any questions… more
- Sharp HealthCare (San Diego, CA)
- …+ 2 years' experience working as an HCC risk adjustment coding auditor . + Experience with medical billing, medical terminology, understanding of medical ... supports the recommended solutions.Provides professional and courteous support to clinical providers through email, phone and in-person contact, answering questions… more
- UC Health (Cincinnati, OH)
- …an inclusive, equitable and diverse place of employment. The Charge Master Auditor is responsible for executing charge related audits. They assist in evaluating ... resolve charging discrepancies and provide charging related outreach education to clinical departments on charging processes and procedures. Instrumental in working… more