- Zelis (St. Petersburg, 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …development, leadership programs and more! **Description** We are seeking an experienced ** Inpatient DRG Coding Auditor** to extract data from patient encounters ... the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and...nursing, and other clinical staff to improve documentation. + Review ?s DRG Reassignment letters and assists… more
- Banner Health (AR)
- …and accurate coding based on documentation for positive outcomes. 5. Performs ongoing audits/ review of inpatient and/or outpatient medical records to assure the ... lot different teams with different focuses (Facility vs Profee)._ In this ** Inpatient Facility-based HIMS Coding Quality Associate** position, you bring your **5… more
- 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 ... to improve coding practices and compliance. **Essential Functions** + Performs inpatient denial reviews using ICD-10-CM/PCS and DRG validation utilizing… more
- HCA Healthcare (Orange Park, FL)
- …**This is a fully work from home position.** **This position requires Inpatient Coding and DRG Validation Experience.** **Schedule: Monday-Friday Day Shift** ... If you find this opportunity compelling, we encourage you to apply for our Inpatient Coding Quality Auditor opening. We promptly review all applications. Highly… more
- University of Michigan (Ann Arbor, MI)
- …Related Group, (MS- DRG ) or All Patient Refined Diagnosis Related Group, (APR- DRG .) + The Inpatient Coding Specialist is responsible for verification of ... Medical Coder Inpatient Apply Now **Job Summary** Advanced coding position...Apply Now **Job Summary** Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM,… more
- RWJBarnabas Health (Oceanport, NJ)
- …is responsible for ensuring accuracy and integrity of ICD-10-CM/PCS coding and DRG assignment for inpatient Medicare encounters. This requires critical thinking ... Regulations and Compliance Guidelines. + Critically analyzes each Medicare inpatient medical record to apply appropriate coding, DRG...a team with other Quality Officers to ensure SMART review goals are met for all RWJBarnabas facilities. +… more
- RWJBarnabas Health (Oceanport, NJ)
- …1 is responsible for ensuring accuracy and integrity of ICD-10-CM/PCS coding and DRG assignment for inpatient encounters for other payers (not Medicare/Managed ... State Regulations and Compliance Guidelines. + Critically analyzes each inpatient medical record to apply appropriate coding, DRG...a team with other Quality Officers to ensure SMART review goals are met for all RWJBarnabas facilities. +… more
- R1 RCM (Salt Lake City, UT)
- …facing Mentor role. **Every day in this role you will:** + Review inpatient medical records for validation of DRG assignment + Provide detailed rationale and ... DRGV Auditor II, your primary role will be auditing inpatient cases for DRG validation and/or documentation...and findings + Utilize industry-recognized references to support their review findings, such as the ICD-10 Official Guidelines for… more
- 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 ... coding guidelines, third-party payer and OIG regulations. **Responsibilities:** + Review and evaluate focused UPMC DRG medical...**Responsibilities:** + Review and evaluate focused UPMC DRG medical records for accurate DRG assignment… more
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