between $62,500 to $119,700 annually based on experience The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits... of coding experience. 3+ years of facility coding audit experience (such as DRG and APC Validation). Proficiency in multiple...
Anticipated End Date: 2025-06-13 Position Title: DRG Coding Auditor Principal Job Description: DRG Coding Auditor... development. Alternate locations may be considered. The DRG Coding Auditor Principal is responsible for auditing inpatient...
This is a remote role We are seeking a DRG validation auditor specializing in coding-related denials, reimbursement...: Inpatient MS-DRG/APR-DRG, and Outpatient CPT-4/HCPCS coding and auditing, with a strong focus on pediatric healthcare services...
This is a remote position We are seeking a DRG validation auditor specializing in coding-related denials... on pediatric healthcare services and coding accuracy and payer claim processing. Job Duties: Manage DRG validation projects...
Responsibilities Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines... and objectivity in performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines...
Responsibilities Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines... and objectivity in performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines...
Rico and the United Kingdom. The Atlantic Region CBO is seeking a dynamic and talented DRG Nurse Auditor with clinical..., evaluating clinical level of care, and the review of denial trends. Key Responsibilities include: Perform DRG (Diagnosis...
Rico and the United Kingdom. The Atlantic Region CBO is seeking a dynamic and talented DRG Nurse Auditor with clinical..., evaluating clinical level of care, and the review of denial trends. Key Responsibilities include: Perform DRG (Diagnosis...
Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records... determinations and rationale. Applies clinical review judgment to make coding validation determinations including sequencing ICD-10...
Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records... determinations and rationale. Applies clinical review judgment to make coding validation determinations including sequencing ICD-10...
Job Title: RN Clinical Auditor – Claims and Coding Review (Outpatient Focus) Location: Remote Industry: National... related to: Behavioral health and general outpatient services Itemized bills, DRG validation, readmission reviews...
) Job Description: JOB SUMMARY The CRC Auditor, conducts coding and documentation quality reviews and generates responses for cases that have been... reviews of accounts denied for DRG validation and DRG downgrades. Documents in appropriate denial tracking tool (ACE...
as required. Perform other duties as assigned. Core Responsibilities and Essential Functions: DRG Validation, RAC and Government Entity...: Under direction of the Manager of Coding Assurance/Compliance, reviews chart documentation to ensure coders have appropriate coding...
coding. Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate...) Job Description: JOB SUMMARY Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment...
with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred...Anticipated End Date: 2025-07-07 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN...
and CMS and other regulatory compliance guidelines and mandates. Requires expert coding knowledge - DRG, ICD-10, CPT, HCPCS...Responsibilities Audits Outpatient and Specialty Claims: Utilizes medical chart coding principles and client...
analytical expertise for the validation process while evaluating claim reimbursement potential based on coding assignment... cases for DRG validation Review inpatient medical records for validation of DRG assignment Provide detailed rationale...
Description : The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation... (clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding and clinically supported...
) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records...Description : CERIS in Fort Worth, Texas is seeking a DRG Coder/Clinical Auditor. The Diagnostic Related Groups (DRG...
, readmissions, patient length of stay, non-covered services, experimental and investigational issues, ER Downgrades, DRG validation... Rico and the United Kingdom. The Atlantic Region CBO is seeking a dynamic and talented Nurse Auditor with clinical case...