- UPMC (Pittsburgh, PA)
- UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within our Coding Department. This position will be a work-from-home position ... OIG regulations. **Responsibilities:** + Review and evaluate focused UPMC DRG medical records for accurate DRG assignment...focused UPMC DRG medical records for accurate DRG assignment to ensure that all documented principal and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor** to extract data from patient encounters ensuring the ... the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition. +...+ Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG . + Reviews… more
- Zelis (St. Petersburg, FL)
- …the personal interests that shape who you are. Position Overview The Manager, DRG Validation of the Expert Claims Review (ECR) department is responsible for daily ... operations and team management of the DRG product. The Manager, DRG Validation will be primarily responsible for the oversight of DRG validation reviews to… more
- Elevance Health (Grand Prairie, TX)
- ** DRG CODING AUDITOR** **_Virtual_** **_: _** _ _ __ _This role enables associates to work virtually full-time, with the exception of required in-person training ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR** is responsible for auditing inpatient medical records… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The purpose of DRG validation is to confirm that diagnostic, procedural information, and the discharge status of the beneficiary, as coded and ... 10th Revision (ICD-10-CM and ICD-10-PCS) codes and the Diagnosis Related Groups ( DRG ). The CRM reviews the physician documentation for specificity, completeness and… more
- Banner Health (OH)
- …quality in the Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from you. **Requirements:** + **5 ... facility-based medical coding (clearly reflected in your attached resume);** + ** DRG and PCS Coding, Auditing experience;** + **Bachelors degree or equivalent;**… more
- Kaleida Health (Buffalo, NY)
- **Director Clinical and DRG Denials** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job ... Description **Summary:** The Director, Clinical & DRG Denials provides clinical leadership and administrative guidance to the Clinical Revenue Cycle department.… more
- UTMB Health (Galveston, TX)
- Senior DRG Coder - Revenue Cycle Coding **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health Requisition # 2504141 **Minimum ... or equivalent and three years of experience. The Sr. DRG coder must be proficient in inpatient coding with...all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and… more
- R1 RCM (Salt Lake City, UT)
- …intelligent automation, and workflow orchestration. As our Accounts Receivable & Denials DRG Supervisor, you will be responsible for the appropriate management of ... can expect working as our Accounts Receivable & Denials DRG Supervisor:** + Assist in all training required to...feedback as requested by leadership. **Required Skills:** + Specialized DRG experience is required. For this US-based position, the… more
- CVS Health (Hartford, CT)
- …Commercial and Medicare environment. In addition, be a subject matter expert in DRG reviews and ICD-10 code selection. The Primary Responsibilities of this Medical ... / CPT, Clinical Policy, Reimbursement and Health Care Systems. * Experience with DRG reviews. * Strong communication skills both written and verbal. **Education** *… more
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