Payment Integrity DRG Coding - United States

DS Technologies Inc is looking for Diagnosis-Related Group (DRG) - Auditor III to conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement. · ...

Description · Why EXL? · At EXL, we believe in fostering an environment where our employees can learn, grow, and succeed. We provide industry-leading training, career development opportunities, and a competitive benefits package to ensure you can focus on what you do best—deliver ...

Hiring experienced Inpatient Medical Coder for acute-care facility coding at a Level I Trauma Hospital. · Review inpatient medical records and assign ICD-10-CM/PCS codes. · Ensure compliance with AHIMA and CMS guidelines. · ...

The Inpatient Coding Specialist is responsible for reviewing and evaluating inpatient hospital medical records to accurately assign, sequence, validate, and edit ICD-10-CM codes and DRGs. · ...

Description · Job Summary · The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in ICD-10-CM/PCS coding, DRG assignments, and supporting clinical documentation. This includes evaluating pr ...

A leading healthcare revenue cycle organization is seeking an experienced Inpatient Coding Specialist III to join their team in Richmond, VA. · ...

Inpatient Coding Specialist III – Remote · Position Type: Permanent (Contingent) · Work Location: Remote / Work From Home · Position Overview · A large healthcare services organization is seeking an experienced Inpatient Coding Specialist III to support inpatient hospital coding ...

Description · Are you a nurse with a strong understanding of inpatient care and a passion for getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded accurately and fairly. This is a fully remote position where you'll use your ...

Job Title: Coding Quality Review (CQR) Specialist · Location: Nashville, TN (Remote – Work From Home) · Employment Type: Full-Time · Openings: 4 · Compensation · $40 to $42.28 per hour (midpoint, based on experience) · Position Overview · "Navitas Healthcare, LLC" is seeking expe ...

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate a ...

Description · Inova Health is looking for a dedicated Registered Nurse (RN) Clinical Documentation Denials Auditor to join the team. This role will be fully-time remote, Monday-Friday, regular business hours 8:00 AM – 4:30 PM (flexible). · Inova is consistently ranked a national ...

The purpose of the Inpatient Coder position is to review documentation and code records to determine the appropriate designation of diagnosis, procedure, and codes while maintaining compliance with coding guidelines and client guidelines. · Follow and adhere to AHIMA's Standards ...

Job Description: · The Inpatient Coding Apprentice role offers a chance to learn the complex skills necessary to be an inpatient hospital MS DRG coder. The program includes hands-on coding assignments, classroom instruction, and online modules, with progress evaluated through com ...

Description · At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. · As the region's adult academic health system, we strive for innovation and provide world-class care for ...

Description · Inova Health is looking for a dedicated Registered Nurse (RN) Clinical Documentation Denials Auditor to join the team. This role will be fully-time remote, Monday-Friday, regular business hours 8:00 AM – 4:30 PM (flexible). · Inova is consistently ranked a national ...

The Inpatient Coding Auditor position provides quality assurance activities for assigned client engagements to ensure high-level coding quality of company resources. They perform coding quality improvement and oversight by assessing accuracy and maintaining internal/client-specif ...

Acentra Health exists to empower better health outcomes through technology, · solutions that deliver maximum value and impact. · The Medical Coder is responsible for reviewing inpatient medical record documentation · to ensure the accuracy, · completeness,and clinical validity of ...

Overview · We are seeking a detail-oriented and knowledgeable Inpatient Coding Specialist to join our healthcare team. The ideal candidate will be responsible for accurately translating medical records into standardized codes to ensure proper billing, reimbursement, and complian ...

Overview · JARALL Medical Management, is growing We are looking for a part-time (with the opportunity to go full time) Podiatry Revenue Cycle Management Specialist, where your expertise will drive the financial health of our company. In this pivotal role, you will oversee the en ...

Overview · The CDI Specialist works collaboratively with providers and clinical teams to ensure accurate, complete, and compliant clinical documentation that reflects patient acuity, severity of illness, and quality of care. · Key Responsibilities · Review inpatient and/or outpat ...