- Elevance Health (Hanover, MD)
- Manager of DRG Coding Audit-Program/Project Locations: _The selected candidate must reside within a reasonable commuting distance of the designated posting ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Manager of DRG Coding Audit** leads a high-performing… more
- Elevance Health (Indianapolis, IN)
- … Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation ... **Title:** Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
- Elevance Health (Chicago, IL)
- …Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital ... ** DRG Coding Auditor Principal** **_Virtual: _**...billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology strongly preferred.… more
- Elevance Health (Ashburn, VA)
- …Experiences** : + BA/BS preferred. + Experience with vendor based Diagnosis-Related Group ( DRG ) Coding /Clinical Validation Audit setting or hospital ... medical-expense spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS- DRG , AP- DRG ,… more
- Marshfield Clinic (Marshfield, WI)
- …concerns and DRG assignments + Assists in the preparation of responses to DRG validation requests and other third party payer inquiries related to coding ... the most exciting missions in the world!** **Job Title:** Hospital Coding Specialist III (Remote) **Cost Center:** 101651098 System Support-Facility Coding… more
- University of Miami (Medley, FL)
- … Coding Review Specialist (H) under the general direction of the Inpatient Coding Manager works closely with the University of Miami Health's Clinical ... Official Coding Guidelines, UHDDS, and regulatory requirements for accurate MS- DRG assignment. + Ensures accurate capture of Severity of Illness (SOI) and… more
- Deloitte (Los Angeles, CA)
- …case manager , clinical documentation specialist, utilization review, informatics RN, Quality, DRG Validation and health IT preferred + Knowledge of Medicare ... improvement, and value-based payment models + Proven applicable CPT and ICD-10 coding experience; APR- DRG , MS- DRG and HCC assignment + Other revenue cycle… more
- Trinity Health (Livonia, MI)
- …integrity program is required. Must have thorough knowledge of CMS regulations, coding guidelines and DRG reimbursement. Demonstrated knowledge of state and ... PURPOSE** Work Remote Position At the direction of the Regional Manager , Clinical Documentation Integrity (CDI), this position supervises daily operations of… more
- Covenant Health Inc. (Knoxville, TN)
- …related to initial DRGs and updates to working DRGs and SOI/ROM for final coding and DRG assignment. + Prepares reports for any assigned facilities. Assists ... of documentation, and the appropriate assignment of a final DRG . The CDI Specialist functions as a resource for...federal regulations to ensure compliance. + Keeps current on coding guidelines and communicates to Health Information Manager… more
- Covenant Health Inc. (Knoxville, TN)
- …related to initial DRGs and updates to working DRGs and SOI/ROM for final coding and DRG assignment. + Prepares reports for any assigned facilities. Assists ... of documentation, and the appropriate assignment of a final DRG . The CDI Specialist functions as a resource for...federal regulations to ensure compliance. + Keeps current on coding guidelines and communicates to Health Information Manager… more