• Ovation Healthcare (Brentwood, TN)
    …located in Brentwood, TN. For more information, visit www.ovationhc.com. Summary: The Specialist , Billing is responsible for managing the daily billing and ensuring ... and keep abreast of any payer changes. The billing specialist should be well versed in Payer portal appeal...in hospital Business Office. Medical Terminology, ICD-10, CPT and DRG knowledge a preferred, knowledge of third-party Insurance payer… more
    Upward (07/13/25)
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  • Zenex Partners (San Francisco, CA)
    Description Job Description: The Clinical Documentation Specialist (CDS) uses strong clinical experience and knowledge to facilitate complete and specific clinical ... severity of illness and quality in the medical record. This includes MS- DRG classification according to regulatory compliance set forth by Centers for Medicare… more
    Upward (07/19/25)
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  • NavitsPartners (Hyannis, MA)
    …(7:00 AM - 3:30 PM) Purpose of Position: The Clinical Documentation Specialist (CDS) is responsible for reviewing medical records to ensure accurate representation ... improving the quality of clinical documentation. This supports appropriate DRG assignment, risk adjustment, reimbursement, and regulatory compliance. Primary Duties… more
    Upward (06/24/25)
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  • DRG Specialist

    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 ... necessary in coordination with the Coding Manager and/or Coding Specialist and assist in correcting deficiencies in DRG... Specialist and assist in correcting deficiencies in DRG assignment. + Prepare monthly productivity reports of … more
    UPMC (06/11/25)
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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …and abstracted data POA, Discharge Disposition. + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG . + Reviews ... leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor** to extract data from patient encounters ensuring the… more
    Emory Healthcare/Emory University (06/06/25)
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  • CDI Specialist III

    Covenant Health Inc. (Knoxville, TN)
    …medical record, the accuracy of documentation, and the appropriate assignment of a final DRG . The CDI specialist functions as an onsite resource for clinical ... Overview Clinical Documentation Integrity Specialist Full Time, 80 Hours Per Pay Period,...discharge planning of patients. In order to assure appropriate DRG assignment and the validity and reliability of the… more
    Covenant Health Inc. (07/02/25)
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  • Coder II - Technical

    UPMC (Pittsburgh, PA)
    …documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. + High School ... sequenced in order of their clinical significance to accurately assign the appropriate DRG /APC/ASC or payment tier under the Prospective Payment system or DSM IV… more
    UPMC (07/12/25)
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  • Coder II - Technical

    UPMC (Pittsburgh, PA)
    …documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. + High School ... in order of their clinical significance to accurately assign the appropriate DRG to guarantee accurate reimbursement on UPMC patients. + Identify incomplete… more
    UPMC (07/12/25)
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  • Facility Coding Inpatient DRG Quality

    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
    Banner Health (06/15/25)
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  • DRG Coding Auditor

    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
    Elevance Health (07/22/25)
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