auditing...ideally in a DRG / Clinical Validation Audit setting or a hospital environment. Coding Certification...Responsibilities Performs clinical quality assurance review of daily clinical validation reviews. The quality...
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...
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...
and commercial payer policy in written and verbal format Strong understanding of claims processing, ICD-10 Coding, DRG Validation... and apply client policies along with CMS guidelines as it relates to reviews done by CERIS such as itemized bill, DRG and/or specialty...
and the Revenue Cycle Team providing DRG validation and correcting accounts with missing or incorrect coding. Provides... professionals. Summary The HIM Coding/Compliance Auditor 2 analyzes abstracted, coded data for the purpose of ensuring coding...
. Job Summary: Performs quality reviews and audits to ensure compliance with DRG validation, ICD-10/PCS, and CPT coding guidelines... as a subject matter expert (SME) in national coding guidelines for hospital inpatient and/or outpatient and will ensure compliance...
Job Description: Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy... coding and reimbursement system and any weaknesses identified during the coding validation reviews. Reviews, analyzes...
. Job Summary: Performs quality reviews and audits to ensure compliance with DRG validation, ICD-10/PCS, and CPT coding guidelines... as a subject matter expert (SME) in national coding guidelines for hospital inpatient and/or outpatient and will ensure compliance...
Summary Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never... coding and validation review experience. Skills and Abilities: Excellent verbal and written communication, organizational...
and a passion for getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded...) with an active license. 5+ years of acute care experience (hospital setting preferred) Experience in DRG audits or coding...
Job Category: Healthcare Quality Job Description: EXL Health, is seeking an experienced Clinical Validation Auditor... coding Responsible for reviewing the accuracy and consistency of clinical DRG auditing auditors to ensure audits...
and a passion for getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded...) with an active license. 5+ years of acute care experience (hospital setting preferred) Experience in DRG audits or coding...
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...
and mandates. Requires expert coding knowledge - DRG, ICD-10, CPT, HCPCS codes. Excellent verbal and written communication skills...Responsibilities Audits Outpatient and Specialty Claims: Utilizes medical chart coding principles and client...
Coding Validation Manager to develop appropriate training materials. The primary goal of ensuring the documentation in the... opportunities. Assists CDI manager with final DRG validation when there is a discrepancy between CDS and coder. Collaborates...
respective medial record. Holding a senior coding position, assumes primary responsibility for DRG validation/accuracy, primary... Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring the assignment...
coding position, assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff... Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Outpatient Coder Auditor Trainee finalizes the...
coding, and CMS billing policies for facility services, E/M auditing and/or healthcare compliance DRG Validation Knowledge... for facility services, E/M auditing, and/or healthcare compliance DRG Validation? 3 years: Experience auditing inpatient facility...
for facility services, E/M auditing and/or healthcare compliance DRG Validation Knowledge and Skills Broad-based audit...Description : IKS Health is seeking to hire a Facility Outpatient Auditor. About IKS: At IKS Health...
in VA or MD Experience: Seven years of recent CDI, DRG validation or coding audit experience in an acute hospital setting... Documentation Denials Auditor to join the team. This role will be fully-time remote, Monday-Friday, regular business hours 8:00...