- University of Michigan (Ann Arbor, MI)
- …procedures. + Review and provide documentation to support appeals for DRG denials from third-party payers to prevent financial loss. + Implement corrective ... DRG COMPLIANCE AUDITOR (DCA) **Early Site Maintenance** We...postings can not be submitted. Apply Now **Job Summary** Review and check certain inpatient records to make sure… more
- HCA Healthcare (Nashville, TN)
- …personal growth, we encourage you to apply for our Coding Quality Audit Reviewer opening. We promptly review all applications. Highly qualified candidates will ... We care like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **Benefits** Parallon offers...Come join our team as a Coding Quality Audit Reviewer . We care for our community! Just last year,… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy ... in ICD-10-CM/PCS coding, DRG assignments, and supporting clinical documentation. This includes evaluating...via scanned, electronic and hybrid medical records. Based on review findings, writes appeal letters to include supporting documentation.… more
- WMCHealth (Valhalla, NY)
- …in working with multiple computer applications and EMR systems. Responsibilities: + Review diagnostic, procedural and DRG assignments for validity and accuracy. ... DRG Validator Company: NorthEast Provider Solutions Inc. City/State:...(https://pm.healthcaresource.com/cs/wmc1/#/preApply/31147) Internal Applicant link Job Details: Job Summary: The DRG Validator will be responsible for coding reviews for… more
- UTMB Health (Galveston, TX)
- …for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of ... Senior DRG Coder - RCO Coding **Galveston, Texas, United...or equivalent and three years of experience. The Sr. DRG coder must be proficient in inpatient coding with… more
- Insight Global (Plano, TX)
- Job Description Insight Global is seeking experienced DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform ... Diagnostic Related Group ( DRG ) validation and quality audits on inpatient charts to ensure accurate coding and compliance with federal regulations. This is a remote… more
- SSM Health (IL)
- …the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate diagnosis review group ( DRG ) assignment, risk of mortality (ROM), and ... reflection of the patient condition in the associated Diagnosis Related Group ( DRG ) assignments, case-mix index, severity of illness (SOI), and risk of mortality… more
- SSM Health (MO)
- …mortality models, observed rate/expected rate (O/E ratios), industry trends, variable and diagnosis review group ( DRG ) frequency. + Serves as a liaison between ... coding staff and physicians as appropriate. Identifies and initiates opportunities for new program development or program extensions, as well as opportunities based on outcomes analysis for program process improvements. + Works with other team membersregarding… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of ... all diagnosis and procedure codes to assure properly assigned MS- DRG or APR- DRG for the purpose of...appropriate reimbursement. + Work with the physician advisor in review of patient medical records identified by RAC/MIC/QIO and… more
- Hartford HealthCare (Farmington, CT)
- …practices. *_Position Responsibilities:_* *Key Areas of Responsibility* *Denial Resolution* . Review DRG validation denials from payers, analyze the denial ... 2 is responsible for reviewing, analyzing, and appealing denials related to DRG (Diagnostic Related Group) validation denials. This role involves validating the… more