, CPT/HCPCS coding, and clinical guidelines, the manager delivers actionable insights that shape operational strategies...+ years DRG review experience, Clinical Documentation Improvement experience required Proficiency ICD-10-CM/PCS, MS-DRG, APR...
Anticipated End Date: 2026-03-16 Position Title: Managers of DRG Coding & Clinical Validation Audit... Job Description: Manager of DRG Coding Audit-Program/Project Locations: The selected candidate must reside within a reasonable commuting...
reimbursement Provides DRG/APC and coding quality information and statistical reports to the Coding Manager Communicates... optimizing function to review data for accuracy Reviews PRO coding changes, reports findings to the Coding Manager...
reimbursement Provides DRG/APC and coding quality information and statistical reports to the Coding Manager Communicates... optimizing function to review data for accuracy Reviews PRO coding changes, reports findings to the Coding Manager...
, for all lines of business, and its clients. Specializes in review of DRG coding via medical record and attending physician...Anticipated End Date: 2026-02-13 Position Title: DRG Coding Auditor Principal Job Description: DRG Coding Auditor...
(CPC) or Inpatient Coding Credential such as CCS or CIC. Experience with third party DRG Coding and/or Clinical...Anticipated End Date: 2026-03-09 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG...
(CPC) or Inpatient Coding Credential such as CCS or CIC. Experience with third party DRG Coding and/or Clinical...Anticipated End Date: 2026-02-13 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG...
from an accredited institution. 5+ years of inpatient/acute hospital coding, DRG auditing, or medical record review experience...Purpose The DRG Auditor Clinical Appeals is responsible for conducting comprehensive retrospective reviews...
. Job Summary: Performs quality reviews and audits to ensure compliance with DRG validation, ICD-10/PCS, and CPT coding guidelines... expert level knowledge of medical coding practices and concepts. Communicates appropriately with manager and all stakeholders...
. Job Summary: Performs quality reviews and audits to ensure compliance with DRG validation, ICD-10/PCS, and CPT coding guidelines... expert level knowledge of medical coding practices and concepts. Communicates appropriately with manager and all stakeholders...
records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding... and Experiences: BA/BS preferred. Experience with vendor based Diagnosis-Related Group (DRG) Coding/Clinical Validation Audit...
, Readmissions, Outpatient and Specialty Review Types. Train Clinicians with coding certifications on DRG coding principles. Confer... members on concepts as needed. Provide training on DRG & Clinical Validation, Short Stay, to include Milliman, InterQual...
Purpose: The Clinical Appeals Review Nurse reviews and analyzes denied/downgraded MS-DRG and APR-DRG and APC accounts... received from all types of payers (e.g., Medicare, Commercial, and Third Party). Utilizing clinical and coding expertise, the...
Coding Clinics, and clinical knowledge. Provide verbal review on all cases with a potential MS DRG recommendation...Not hiring out of CA Essential Job Duties and Responsibilities: Clinical Coding Analysts are assigned to a specific...
Coding Clinics, and clinical knowledge. Provide verbal review on all cases with a potential MS DRG recommendation...Not hiring out of CA Essential Job Duties and Responsibilities: Clinical Coding Analysts are assigned to a specific...
Coding Clinics, and clinical knowledge. Provide verbal review on all cases with a potential MS DRG recommendation...Not hiring out of CA Essential Job Duties and Responsibilities: Clinical Coding Analysts are assigned to a specific...
Coding Clinics, and clinical knowledge. Provide verbal review on all cases with a potential MS DRG recommendation...Not hiring out of CA Essential Job Duties and Responsibilities: Clinical Coding Analysts are assigned to a specific...
Coding Clinics, and clinical knowledge. Provide verbal review on all cases with a potential MS DRG recommendation...Not hiring out of CA Essential Job Duties and Responsibilities: Clinical Coding Analysts are assigned to a specific...
Coding Clinics, and clinical knowledge. Provide verbal review on all cases with a potential MS DRG recommendation...Not hiring out of CA Essential Job Duties and Responsibilities: Clinical Coding Analysts are assigned to a specific...
Coding Clinics, and clinical knowledge. Provide verbal review on all cases with a potential MS DRG recommendation...Not hiring out of CA Essential Job Duties and Responsibilities: Clinical Coding Analysts are assigned to a specific...