- Elevance Health (Dearborn, MI)
- ** DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The ** DRG CODING AUDITOR ** is ... coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement sent in by acute care… more
- Humana (Lansing, MI)
- …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient...a full-time, remote/work-from-home position.** **Required Qualifications** + 7+years of DRG Coding + 5 years of Quality… more
- Humana (Lansing, MI)
- …of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...least one of these qualifications for 4 years) * MS- DRG coding /auditing experience * Minimum of 1… more
- Highmark Health (Lansing, MI)
- …HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. Reports findings both ... Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician...In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG /APC… more
- R1 RCM (Detroit, MI)
- …- one that promotes patient satisfaction and improves financial performance. As our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG ... systems to validate the accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. **Every day in this role… more
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse** , you will help review and interpret medical ... day you will review medical records to ensure appropriate coding of removed or revised diagnosis and procedure codes....underpaid claims. + Apply clinical judgment and knowledge for DRG downgrades performed because of a Clinical Validation Review… more