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...
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...
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...
guidelines in performance of medical audit activities with Outpatient (APC, PNPP), Pharmacy and/or Inpatient DRG claims. Draws... Education (required) Associate or bachelor’s degree Health Information Management (RHIA or RHIT). Or equivalent combination...
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...
Validation reviews. The Associate Manager of Clinical Quality plays an integral role in ensuring the accuracy, integrity... for DRG validation, inpatient coding, and outpatient coding/billing audits. Supervise and mentor clinical auditors and coding...
Validation reviews. The Associate Manager of Clinical Quality plays an integral role in ensuring the accuracy, integrity... for DRG validation, inpatient coding, and outpatient coding/billing audits. Supervise and mentor clinical auditors and coding...
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...
. 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...
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...