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...
guidelines. Will collaborate with a variety of departments such as Denials team, DRG Validation team and Clinical Documentation... and effective auditing of medical record documentation to identify inaccurate coding or abstracting services; prepares reports...
. 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...
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...
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 to determine correct DRG/coding and clinically supported...
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...
, or CDI second level review or inpatient coding quality review and/or DRG validation with a strong understanding of disease... Coding Department and the Clinical Documentation Specialist to reconcile discrepancies in code and/or DRG assignment...