auditing...ideally in a DRG / Clinical Validation Audit setting or a hospital environment. Coding/CDI Certification...Responsibilities Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines...
between $69,400 to $119,700 annually based on experience The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits.... Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG assignment and clinical...
and education related to inpatient DRG validation and coding accuracy. Review clinical DRG audit outcomes to assess consistency... coding guidelines, clinical validation requirements, and audit expectations. Leveraging deep clinical knowledge, the CVA...
specific guidelines in performance of medical audit activities with Outpatient (APC, PNPP), Pharmacy and/or Inpatient DRG... job change. Qualifications Education (required): Associate or bachelor’s degree in nursing (active /unrestricted license...
work schedules, and remote and hybrid career opportunities. Registered Nurse (RN) Clinical Documentation Denials Auditor... with Clinical Documentation Improvement (CDI) Director and Lead Auditor on other work related to physician audits and education...
preferred: CPC, CPMA, CCS, RHIA, or RHIT Minimum 3 years of experience in clinical auditing or claims validation...Kforce has a client in San Antonio, TX that is seeking a Compliance Manager - Coding & Documentation Auditor...
. Job Summary: Performs quality reviews and audits to ensure compliance with DRG validation, ICD-10/PCS, and CPT coding guidelines...Job Category: Associate Job Description: Located in the metropolitan area of Sacramento, the Adventist Health...
and clinical validation denials. - 1% Participates in on site, remote and/or external training workshops and training. Attends... to apply this knowledge to the coding process. Knowledge of MS DRG prospective payment system and severity systems. Knowledge of Clinical...
. Job Summary: Performs quality reviews and audits to ensure compliance with DRG validation, ICD-10/PCS, and CPT coding guidelines...Job Category: Associate Job Description: Located in the metropolitan area of Sacramento, the Adventist Health...