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...
performance, randomized and quality assurance reviews to assess comprehension of training efforts. Performs DRG Validation reviews...+ years of facility coding audit experience (such as DRG and APC Validation). Proficiency in multiple EMR’s, encoders...
. We are looking for a Sr. DRG Auditor to work 100% remotely from home! Do you have mastery level experience as a DRG Auditor looking for the...-oriented team. In this fully remote position as a DRG Auditor you will apply your expert knowledge of DRG coding...
, visit EXL Health is looking for an Auditor III - DRG Coding. This is a work from home opportunity. In this fully remote... position as a DRG Auditor you will apply your expert knowledge of DRG coding and reimbursement, ICD-10 Official Coding...
, visit EXL USA Healthcare is looking for an Auditor III - DRG Coding. This position is a full-time, work from home... opportunity. In this fully remote position as a DRG Auditor you will apply your expert knowledge of DRG coding and reimbursement...
, visit EXL USA Healthcare is looking for an Auditor III - DRG Coding. This position is a full-time, work from home... opportunity. In this fully remote position as a DRG Auditor you will apply your expert knowledge of DRG coding and reimbursement...
and commercial payer policy in written and verbal format Strong understanding of claims processing, ICD-10 Coding, DRG Validation... and industry standards in clear and professional written communication. Ability to use clinical judgement and analytical skills...
Anticipated End Date: 2025-02-10 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN... Job Description: Diagnosis Related Group Clinical Validation Auditor-RN Location: This position will work a hybrid model (remote and office...
Anticipated End Date: 2024-12-27 Position Title: Diagnosis Related Group Clinical Validation Auditor-Registered Nurse... Job Description: Diagnosis Related Group Clinical Validation Auditor-Registered Nurse Location: This position will work a hybrid model (remote...
charges are supported by the appropriate clinical documentation, review medical records, and document findings in Cotiviti... and applying knowledge related to billing and coding guidelines searching for billing, coding and unsupported (or clinical...
-or-federal-law. custom_fields.MarketingTitle-Clinical-Documentation-Auditor custom_fields.termsAndConditions- i Copyright....jobRequisitionDetails-JR-34249-Clinical-Documentation-Auditor-(Open) locationid-6252001-4197000-4196508-4180439" data-site-geolocation="true...
Audits involving DRG and coding changes. Providing feedback with recommendations for improvement. Accounts Receivable... and participating in testing and validation of code sets, coding and abstracting programs. Supporting scheduled and unscheduled system...
position as a Clinical Validation Auditor you will apply your expert clinical knowledge in the auditing of inpatient medical... to candidates with prior clinical or coding validation audit experience. Prefer candidate with prior DRG retrospective overpayment...
, work from home opportunity. Summary: In this fully remote position as a Clinical Validation Auditor... clinical or coding validation audit experience. Prefer candidate with prior DRG retrospective overpayment identification...
denied for coding, documentation, and clinical validation, and formulates and submits letters of appeal. Prepares reports... data. Performs audits on the accuracy of ICD-10, CPT-4, MS-DRG, APR-DRG and APC assignments. Performs review of claims...
to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation..., methodology, and tools for accurately coding. Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records...
to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation..., methodology, and tools for accurately coding. Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records...
to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation..., methodology, and tools for accurately coding. Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records...
to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation..., methodology, and tools for accurately coding. Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records...
and Essential Functions: DRG Validation, RAC and Government Entity Reviews, Appeals, Overpayment Review Functions Investigate... documentation to ensure coders have appropriate coding and DRG assignment, discharge disposition, admit and discharge dates...