- Elevance Health (Grand Prairie, TX)
- …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** ... from an office.** The **DRG Coding Auditor** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of… more
- Houston Methodist (WA)
- …and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory ... good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- Are you an experienced leader with a strong background in medical records coding and quality assurance? Risk Adjustment is looking for a **Supervisor** to lead a ... **About the Team:** This team plays a critical role in reviewing medical records, capturing conditions per established guidelines, and ensuring quality standards are… more
- Elevance Health (Roanoke, VA)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG Coding Auditor Principal** is responsible for ... auditing inpatient medical records on claims paid based on Diagnostic Relation...Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Certified Coding Specialist, CIC as a… more
- Mount Sinai Health System (Elmhurst, NY)
- **Job Description** Review Medical charts and documentation within but not limited to the facility EMR, Epic, to ensure that all Physician charges are captured in a ... the completion of a High School Diploma. Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT 4 coding certification...by completion of a certificate course with CPC / CCS -P credentials. At least six months coding experience preferred.… more
- MedKoder (Mandeville, LA)
- About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for ... of physician documentation that supports codes selected including adherence to Medical Necessity; + Adherence to Local Coverage Determination (LCDs), or National… more
- Elevance Health (Seattle, WA)
- …(CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …to any HHS and CMS RADV audits, including retrieval and coding of targeted medical records. * Design and implement QA programs to improve coding accuracy, reduce ... staff, on proper coding practices and compliance requirements. * Manage medical coding metrics, performance improvement opportunities, and evaluation of in-home… more
- MedKoder (Mandeville, LA)
- About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for ... or AAPC certified program with the achievement of the correlating professional credential ( CCS , CPC, etc.); active and in good standing. Successful completion of the… more
- CenterWell (Washington, DC)
- …Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the ... business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state and federal regulations as… more