- UNC Health Care (Chapel Hill, NC)
- …Abilities Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG , hierarchical condition categories (HCC), and CDI ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may...and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and… more
- Cognizant (Topeka, KS)
- **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of...+ CCS, RHIT or RHIA (AHIMA) certification + APR DRG experience + Minimum of five years of facility-based… more
- Northwell Health (Garden City, NY)
- …6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the coding and CDI staff. ... Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position Job… more
- AdventHealth (Orlando, FL)
- …+ Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS- DRG , APR-DRGs, and overall coding accuracy retrospectively and concurrently. + ... each year **The role you'll contribute:** Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible for validating the … more
- UPMC (Pittsburgh, PA)
- …auditing and compliance. + Extensive knowledge of CMS, and third-party payer coding , billing, and documentation compliance regulations required (MS- DRG , APR- ... APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment… more
- Geisinger (Danville, PA)
- …audits, monitoring, and provides compliance education for facility and professional documentation, coding , and billing. The Senior Compliance Auditor serves as a ... Job Summary The Senior Compliance Auditor ensures the integrity and accuracy of facility...on the adequacy of medical record documentation to support coding ( DRG , CPT, ICD 10) and billing… more
- Datavant (Dover, DE)
- …Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. + Provides rich and ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- Dartmouth Health (Lebanon, NH)
- …processes supporting operational and compliance objectives. Performs complex professional and facility ( DRG or APC) coding and billing audits across all clinical ... audit and monitor completeness, accuracy and timeliness of documentation, coding , billing, reimbursement, efficiency and effectiveness of operations and compliance… more
- St. Luke's University Health Network (Allentown, PA)
- …the Professional Coding (PC) staff to determine data quality and accuracy of coding , billing, and documentation related to DRG 's, CPT, APC's, and HCPCS Level ... II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. JOB DUTIES AND RESPONSIBILITIES: +… more
- Houston Methodist (Houston, TX)
- …(for inpatient/outpatient coding ) coding classification systems + For inpatient/outpatient coding : MS- DRG , APR DRG and APC assignment systems + ... At Houston Methodist, the Coding Educator position is responsible for developing ...Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND… more