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 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...
as needed. Performs Inpatient coding by assigning ICD-CM and ICD-PCS codes as well as DRG assignment. Essential Functions Conducts... review and audit of discharged inpatient records (prebill and retrospective reviews) to validate the coding/DRG assignment...
. 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...
. About the Role We are seeking a board-certified physician with strong inpatient coding and DRG audit expertise... will be to perform high-quality DRG clinical reviews, ensuring diagnostic and coding accuracy for hospital claims. In parallel...
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...
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...
Description : The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation... (clinical/coding) reviews of medical records and/or other documentation. This role will determine correct DRG/coding as defined...
Groups (DRG) QC Clinical Auditor will be responsible for performing quality control DRG validation (clinical/coding) reviews...Description : CERiS in Fort Worth, Texas is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related...
Description : The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation... (clinical/coding) reviews of medical records and/or other documentation. This role will determine correct DRG/coding as defined...
. Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable... and coding issues. Experience: 3 years medical record management to include coding and validation review experience...
reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events for all lines of business... a significant impact in the healthcare sector by ensuring accuracy and compliance in medical records. Duties Perform validation...
for DRG validation, inpatient coding, and outpatient coding/billing audits. Supervise and mentor clinical auditors and coding... Manager, Clinical Quality position who will be responsible for supervising Quality Assurance activities for Coding and DRG...
for DRG validation, inpatient coding, and outpatient coding/billing audits. Supervise and mentor clinical auditors and coding... Manager, Clinical Quality position who will be responsible for supervising Quality Assurance activities for Coding and DRG...
validation or coding determination made by the government or commercial payors, or their auditor representative. Facilitate... of all diagnosis and procedure codes to assure properly assigned MS-DRG or APR-DRG for the purpose of appealing proposed DRG and coding...