- HCA Healthcare (Nashville, TN)
- …with purpose and integrity. We care like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **Benefits** Parallon offers a ... Today! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews on… more
- Elevance Health (Seven Hills, OH)
- DRG Clinical (RN) Validation Auditor **Virtual** : This role enables associates to work virtually full-time, except for required in-person training sessions, ... unless an accommodation is granted as required by law._ The ** DRG Clinical Validation Auditor ** is responsible for auditing inpatient medical records… more
- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. The work authorization is not specified and the ... of understanding of reimbursement guidelines specifically an understanding of the MS- DRG , AP- DRG , and APR- DRG payment systems. This position is responsible… more
- CGI Technologies and Solutions, Inc. (Dallas, TX)
- **Remote Senior Inpatient Auditor - MS- DRG & Clinical Validation ** **Category:** Analytics and Emerging Digital Technologies **Main location:** United ... J0126-0519 **Employment Type:** Full Time **Position Description:** CGI is seeking a high-caliber MS- DRG Auditor to join our Healthcare Compliance Team. In this… more
- Elevance Health (Ashburn, VA)
- …medical-expense spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS- DRG , AP- DRG , ... considered if candidates reside within a commuting distance from an office.** The ** DRG Coding Auditor ** is responsible for auditing inpatient medical records… more
- Community Health Systems (Franklin, TN)
- …**Essential Functions** + Performs inpatient denial reviews using ICD-10-CM/PCS and DRG validation utilizing appropriate coding references for CHS hospitals ... **Job Summary** The DRG Denials Auditor conducts hospital inpatient...supporting documentation. + Utilizes hospital abstracting system for coding validation when applicable with access to the 3M encoder.… more
- Insight Global (Plano, TX)
- …The DRG Revenue Integrity Auditor will perform Diagnostic Related Group ( DRG ) validation and quality audits on inpatient charts to ensure accurate coding ... years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN or BSN RHIT or… more
- US Tech Solutions (Columbia, SC)
- …or CPC. + A typical day would like in this role: The normal day is DRG reviews and audits. + Performs validation reviews of Diagnosis Related Groups ( DRG ... Department. **Responsibilities:** + Determines methodology to identify cases for validation review. + Conducts validation reviews/coordinates rates adjustments… more
- AdventHealth (Maitland, FL)
- …Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS- DRG , APR-DRGs, and overall coding accuracy retrospectively and concurrently. Provides ... reimbursement system and any weaknesses identified during the coding validation reviews. Reviews, analyzes, and interprets clinical documentation, seeking… more
- Northwell Health (Garden City, NY)
- …position Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates ... and State regulations. 5.Applies coding rules and regulations to the validation review process. 6.Reviews codes on Medicare/non-Medicare charts for compliance to… more