. Connecting. Growing together. In this position as a DRG RN Auditor, 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 Guidelines in the...
. Additional Information: The Claim Auditor I is responsible for auditing behavioral and medical claims and ensuring quality... metrics are met by conducting post claims reviews on posted claims for Texas Medicaid and CHIP programs. The Claim Auditor...
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...
Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Healthcare Auditor...Job Description: Description Clinical Revenue Auditor-CDM Patient Financial Services-Corporate-Full-Time-Days...
Principal Auditor - Cyber, Risk and Analysis Technology Audit Capital One's Audit function is a dedicated group... of professionals focused on delivering top-quality assurance services to the organization's Audit Committee. Audit professionals...
Job Description: Home Health Quality Review Specialist - OASIS Auditor Locations: Columbus or Chillicothe, Ohio... Full Time Monday-Friday 8-5 Some on call rotation Are you a dedicated Quality Review Specialist with a passion...
. The Network Provider Services Auditor performs audits as part of the Documentation and Coding Compliance Program... and their office staff, as well as the Coding and SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES: Perform quality audits...
. 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...
Principal Auditor- Cyber, Risk and Analysis Technology Audit (Hybrid) Capital One's Audit function is a dedicated... group of professionals focused on delivering top-quality assurance services to the organization's Audit Committee. Audit...
. Connecting. Growing together. In this position as a Clinical DRG RN auditor, 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 Guidelines...
. Connecting. Growing together. In this position as a Clinical DRG RN auditor, 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 Guidelines...
Auditor I performs detailed medical record audit review and analysis of the health plan’s outpatient, professional... and diagnoses are accurately coded using appropriate CPT, HCPCS, and ICD-10 codes. Ensure that the coding reflects the clinical...
iMedX is looking for an Inpatient Facility Coding Auditor. This position requires proficiency in DRG-based auditing... on an hourly rate. PURPOSE The Inpatient Coding Auditor reviews client records to assure coders have assigned accurate...
Adjustment Validation Auditor serves as a subject matter expert in ICD-10-CM coding and documentation guidelines, V24 and V28... that will impact Auditor quality Adheres to the schedule and communicates any changes to the team supervisor Understands and complies...
Adjustment Validation Auditor serves as a subject matter expert in ICD-10-CM coding and documentation guidelines, V24 and V28... that will impact Auditor quality Adheres to the schedule and communicates any changes to the team supervisor Understands and complies...
, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member..., the Company succeeds. This position is responsible for being the lead audits of hospital billing and coding practices...
) compliance activities. Collaborates with TFHS Legal, Compliance, Quality, Risk, HIM, Finance and other related departments... of organizational policies and procedures for physician arrangements, billing, coding, and chart review...
medical records and clinical documentation to ensure proper patient status placement, accurate coding, and defensible payer... and coverage. Collaborates with Case Management, Utilization Management, Coding, Medical Officer, and Physician Advisors to reduce...
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...