Anticipated End Date: 2025-10-20 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG..., AP-DRG and APR-DRG) Job Description: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG...
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...
This is a remote contract position. We are seeking an experienced DRG Validation Auditor with strong CDI expertise... to perform documentation and coding reviews that will support the development of our AI-driven auditing platform. The Auditor...
. Connecting. Growing together. In this position as a DRG/CVA Validation Auditor RN, you will apply your expert knowledge of the... MS-DRG and APR-DRG coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding Clinic...
. Connecting. Growing together. In this position as a DRG/CVA Validation Auditor RN, you will apply your expert knowledge of the... MS-DRG and APR-DRG coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding Clinic...
We’re seeking a detail-oriented DRG Coder/Clinical Auditor to perform DRG validation reviews of medical records...DRG Coder / Clinical Auditor 📍 Remote | Full-Time | 🏥 Healthcare | Clinical Documentation & Coding About the Role...
Clinical DRG Auditor Registered Nurse- Remote Hours: Mon - Fri 8:00a.m. - 5:00p.m. cst Pay Rate: B....O.E Cornerstone Medical is searching for a Registered Nurse with DRG Auditor experience. The Auditor will be responsible...
and Experiences: BA/BS preferred. Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding...Anticipated End Date: 2025-11-07 Position Title: DRG Coding Auditor Job Description: DRG CODING AUDITOR Virtual...
. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. Under the... courses. At least 3 years’ experience in MS-DRG and APR-DRG validation in acute care inpatient coding, auditing. Payment...
performing DRG audits, utilization management, or clinical validation reviews. Deep familiarity with ICD-10-CM/PCS, AHA...-turning fragmented checklists into cohesive clinical narratives, and making DRG validation more efficient, accurate, and fair...
Description : The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation... intervention procedures. The ideal DRG Clinical Auditor candidate has strong written and verbal communication skills, clinical...
Description : The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation... intervention procedures. The ideal DRG Clinical Auditor candidate will have strong oral and written communication skills, clinical...
UPMC Health Plan has an exciting opportunity for a Risk Adjustment Clinical Auditor/Analyst position in the Medicare..., reviews or education, DRG experience, Clinical Documentation Improvement, Fraud & Abuse, Chart Auditing, or Quality Review...
: Clinical Documentation Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: The CDI Validation Specialist functions... via clinical validation query process and education to CDI specialists. Contributes to departmental and organizational...
assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates.../Duties: · Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination...
Clinical Auditor This is an exciting opportunity to work for a leader of resources for payors solutions & bill review... flow! This position is remote! Live anywhere in the United States! Type of Work: · Performing DRG validation...
Clinical Auditor This is an exciting opportunity to work for a leader of resources for payors solutions & bill review... flow! This position is remote! Live anywhere in the United States! Type of Work: · Performing DRG validation...
and/or healthcare compliance DRG Validation Knowledge and Skills Broad-based audit experience with inpatient and outpatient ICD-10...Description : IKS Health is seeking to hire a Facility Outpatient Auditor. About IKS: Job Summary: Conducts...
and Conifer Compliance as warranted. The Auditor will perform analysis on clinical documentation, evidenced based criteria... reviews of accounts denied for DRG validation and DRG downgrades. Documents in appropriate denial tracking tool (ACE...
. Reviews include full DRG validation, review of assigned ICD-10-CM/PCS, POA indicator(s), validation of all abstracting... elements, review for query opportunities affecting DRG, severity of illness, and/or risk of mortality scores. Auditor will use...