- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for ... accuracy in ICD-10-CM/PCS coding, DRG assignments, and supporting clinical documentation. This includes evaluating...any other relevant data to ensure coding accuracy. The auditor is also responsible for writing and defending appeal… more
- University of Michigan (Ann Arbor, MI)
- DRG COMPLIANCE AUDITOR (DCA) Apply Now **Job...in writing appeal letters to third-party payers to support DRG denials . + Attention to detail to perform ... + Review and provide documentation to support appeals for DRG denials from third-party payers to prevent...employer. **Job Detail** **Job Opening ID** 271520 **Working Title** DRG COMPLIANCE AUDITOR (DCA) **Job Title** Medical… more
- Sharp HealthCare (San Diego, CA)
- …*This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance ... coding or professional E/M coding in the following coding systems: ICD-10-CM/PCS, DRG , CPT& HCPCs, and/or E/M CPT. **Preferred Qualifications** + Other : Strong… more
- St. Luke's University Health Network (Allentown, PA)
- …medical record reviews for clinical validation of diagnosis and procedure code assignment and MS- DRG /APR- DRG accuracy based on denials or audit findings from ... all diagnosis and procedure codes to assure properly assigned MS- DRG or APR- DRG for the purpose of...made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist… more
- Texas Health Resources (Arlington, TX)
- …management correction plans when necessary. Additionally, the Compliance Auditor Manager effectively communicates audit findings through reports, presentations, ... additional reviews to assist departments handling Medicare, OIG, or non-Medicare denials . Provide expert analysis on coding, documentation, and applicable regulatory… more