- Datavant (Hartford, CT)
- …to realize our bold vision for healthcare. **What We're Looking For:** As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and ... Level 1 facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work,...You Need to Succeed:** + 5+ years of facility inpatient coding experience and/or auditing. + CCS (required), RHIA… more
- The Cigna Group (Bloomfield, CT)
- …Risk Adjustment (RA) programs, including the Risk Adjustment Data Validation (RADV) audit and the Supplement Diagnosis program. Responsible for liaising with the ... Initial Validation Audit Entity to ensure compliant, efficient, and successful ...certifications: + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified Coding Specialist… more
- Elevance Health (Wallingford, CT)
- …certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. + Requires 5 ... medical-expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more
- Elevance Health (Wallingford, CT)
- …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of… more
- Highmark Health (Hartford, CT)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of...or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned… more
- Hartford HealthCare (Farmington, CT)
- …Health Information Management (HIM) Clinical Documentation Integrity (CDI) quality, audit , education, and denials prevention program consistent with clinical, ... Manages a team of Clinical Documentation Integrity (CDI) Specialists for inpatient CDI, mortality, Patient Safety Indicators (PSIs), Hospital Acquired Conditions… more
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