- Zelis (FL)
- …gained, and the personal interests that shape who you are. Position Overview The Inpatient DRG Reviewer will be primarily responsible for conducting ... post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on...Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest… more
- Datavant (Tallahassee, FL)
- …allowing you to help shape the future of healthcare from your own workspace! Seeking Inpatient Auditor proficient in MS- DRG and APR- DRG **What You Will Do:** ... function and decision making + Strong organizational, teamwork, and leadership skills Seeking Inpatient Auditor proficient in MS- DRG and APR- DRG **What You… more
- Humana (Tallahassee, FL)
- …neonatal). For example: ICU, CCU, PCU, med-surg/adult units or a minimum of 2 years DRG Inpatient auditing. NOTE: Inpatient experience does **not** refer to ... relevant coding. Applies clinical and coding experience to conduct a clinical validation review of the inpatient medical record to validate billed diagnoses.… more
- Elevance Health (Tampa, FL)
- …considered if candidates reside within a commuting distance from an office.** The ** DRG Coding Auditor** is responsible for auditing inpatient medical records ... and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of...where additional recoveries may be available, such as re-admissions, Inpatient to Outpatient, and HACs. + Suggests and develops… more
- Elevance Health (Lake Mary, FL)
- …spending. The ** DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group ( DRG ... all lines of business, and its clients. Specializes in review of DRG coding via medical record...where additional recoveries may be available, such as re-admissions, Inpatient to Outpatient, and Hospital Acquired Conditions (HACs), Preventable… more
- Elevance Health (FL)
- …clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will ... **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work virtually… more
- HCA Healthcare (Ocala, FL)
- …organizations. Apply Today! **Job Summary and Qualifications** As a work from home Inpatient Coding Specialist, you will review and evaluate hospital ... and ICD-10- PCS codes. You will perform coding and/or code/ DRG validation across multiple entities. **What you will do...personal growth, we encourage you to apply for our Inpatient Coding Specialist opening. We promptly review … more
- Datavant (Tallahassee, FL)
- …on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper ... to realize our bold vision for healthcare. As an ** Inpatient Auditing Specialist** you will be instrumental in addressing... by the facility or CCS HIM director. + Review disagreements on APC/ DRG changes with the… more
- Cognizant (Tallahassee, FL)
- **Job Title: Medical Coder - Inpatient Hospital - ICD 10 CM/PCS (Remote)** **Location:** [Remote] **Employment Type:** [Full-time] M-F flexible hours An ** ... inpatient hospital medical coder** is a healthcare professional responsible...and **PCS** (Procedure Coding System) standards. . **Responsibilities** + Review clinical documentation to assign accurate **ICD-10-CM** and **ICD-10-PCS**… more
- Houston Methodist (FL)
- At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters ... Responds promptly and appropriately to requests to code or review coded accounts for accuracy. + Initiates queries with...of degree **WORK EXPERIENCE** + One year of relevant inpatient coding experience or successful completion of the Houston… more