DRG Coding Auditor | CDI Educator & Compliance Advisor
AHIMA
AHIMA is seeking a senior role responsible for auditing diagnosis and procedure coding, DRG assignment, and data abstraction to ensure proper reimbursement and clinical severity capture for services rendered. The incumbent educates coders, physicians, and clinical staff, serving in an advisory role for coding and regulatory compliance. This position partners with the Coding Manager to improve inpatient coding accuracy and documentation quality. #J-18808-Ljbffr AHIMA
$55.1k - $99k
...message the job poster from TalentPlug LLC Job Title Clinical Coding Auditor & Trainer Job Location Remote (Candidates must be residents... ...and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. Applicants...SuggestedFull timeRemote work- ...Xtend Healthcare is seeking a DRG Revenue Integrity Auditor to perform DRG validation and chart reviews for inpatient records. You will apply ICD-10-CM/PCS coding guidelines to ensure accurate classifications and compliant documentation. This remote role offers a salaried...SuggestedRemote work
$70k - $80k
Diagnosis Related Group (DRG) Auditor III Join to apply for the Diagnosis... ...MS-DRG and APR-DRG coding reviews to ensure accuracy in... ...trends, coding updates, and compliance regulations to maintain expert... ...High School Diploma (Higher education preferred). CCS, RHIA, or RHIT...SuggestedFull timeWork experience placementReliefRemote workWork from homeHome officeRelocation package$85k - $90k
..., and more. The Nurse Coder DRG Auditor’s primary responsibility is... ...care. This role will apply coding and clinical principles based... ...certifications and continuing education requirements May require... ...be asked to complete certain compliance requirements set forth by our...SuggestedWork at officeRemote work- Humana Inc is seeking an Inpatient Medical Coding Auditor to join their coding disputes team. This remote position involves reviewing DRG and ICD-10-CM coding for accuracy while collaborating with coding professionals to achieve compliant outcomes. The ideal candidate...SuggestedRemote job
- Centene Corporation is seeking a Remote DRG Reviewer (MO Licensed) to conduct MS-DRG and APR-DRG coding and clinical validation reviews, ensuring accurate DRG assignments... ..., and evaluate claims for regulatory and policy compliance, exercising independent judgment throughout the...Remote jobFull time
- ...this position as a Clinical DRG RN auditor, you will apply your expert... ...knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology... ...knowledge of and compliance with changes and updates to... ...Employee Stock Purchase Plan Education Reimbursement Employee Discounts...Temporary workWork at officeRemote workRelocation package
- A healthcare services provider is seeking an experienced coding auditor to perform quality audits and reviews on outpatient records. The... ...staff, extracting clinical information, and assisting in educational training. Candidates should have AHIMA or AAPC certification...Remote jobRelief
- A healthcare data platform company is seeking an Inpatient Auditing Specialist to conduct coding audits and enhance coding education for healthcare providers. The role requires 3-5 years of experience in a Level 1 trauma facility and familiarity with SMART software. This...Remote jobFlexible hours
$85k - $90k
A healthcare technology firm is seeking a Nurse Coder DRG Auditor to validate coding accuracy and medical necessity of inpatient claims. The role involves applying industry standards and guidelines to perform DRG validations while collaborating within a team. Successful...- ...Position Title: Inpatient Coding Auditor Department: HIM Coders Job Description... ...on individual experience, education, certification(s), and... ...routine monthly, focus pre-bill, CDI Reconciliations, second-level... ...to account reviews and code/DRG validation. · Responds to coding...Full timeImmediate startRemote work
- Shell Lubricants Hub Hamburg is seeking a Physician Coding Auditor and Educator for a remote, full-time position. The ideal candidate will have certification through AHIMA or AAPC and a minimum of three years’ experience in coding and auditing. Responsibilities include...Remote jobFull timeFlexible hours
- A healthcare recruitment agency is seeking a Clinical Coding Auditor & Trainer for a primarily remote role, requiring travel to New York twice a year. The successful candidate will be responsible for developing training programs and conducting quality auditing for the...Remote job
- The City of Lincoln is seeking a Coder Auditor to ensure the accuracy of clinical data supporting risk adjustment coding for the Medicare plan. The ideal candidate will work... ...include auditing coding outputs, educating providers, and managing second-level reviews...
- Dormont Manufacturing Co is seeking a Compliance Auditor to enhance the quality of clinical and financial documentation. This role involves auditing... ...clinical documentation, ensuring compliance with billing codes, and collaborating with personnel to recommend process...
$70k - $80k
Privia Health is seeking a Coding Compliance Audit & Education Specialist to conduct audits and educate providers on coding compliance. This remote position requires expertise in CPT, ICD-10, and HCPCS coding, as well as strong communication skills. The ideal candidate...Remote job- ...NY, United States Job Description Required: Coding Auditor with inpatient hospital experience... ...effective skills in validation; provides ad-hoc education to the coding staff. Able to communicate effectively with coders and CDI staff. Demonstrates knowledge of coding policy...Hourly payFull timeShift work
- ...Inpatient Medical Coding Auditor – PPI Coding Disputes Reports to the manager and reviews DRG, ICD-10-CM, and PCS coding assignments for accuracy within the coding disputes... ...for accuracy. Ensure overall accuracy and compliance of coding dispute reviews by adhering to...Bi-weekly payWork at officeRemote workWork from homeHome officeMonday to Friday
- ...record audits of documentation, coding and billing for technical and... ..., including: CPT ICD9 HCPCII DRG APC APG Modifiers Teaching... ...applicable department, the Executive Compliance Committee and the Board of... ...and billing curriculum and education classes for 500+ physicians,...For contractorsWork at officeLocal area
$81.6k - $102k
...York**Grant Funded:**No**Department:**Compliance - Education And Audits**Work Shift:**Day**Work Days... ...medical record audits of documentation, coding and billing for technical and professional... ..., including:* CPT* ICD9* HCPCII* DRG* APC* APG* Modifiers* Teaching Physician...For contractorsWork at officeLocal areaShift work$90k - $115k
A healthcare intelligence company is seeking a DRG Reviewer to conduct payment validation reviews. The ideal candidate will possess... ...medical records, providing clinical support, and ensuring compliance with regulations. The job offers a competitive salary between $...Remote jobFlexible hours$45.67 per hour
Auditor Clinical Validation Outpatient Specialty Clinical... ...role will focus on Coding & Clinical Chart Validation... ...and/or Inpatient DRG claims. Draws on advanced... ...change. Qualifications Education (required): Associate... ...CMS and other regulatory compliance guidelines and mandates...Hourly payFull timeContract workWork at officeImmediate startRemote work$55.1k - $99k
...Clinical Coding Auditor & Trainer We are looking for a Clinical Coding Auditor & Trainer position... ...for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis... ...Strong written communication skills Education/Experience Associates degree in...Full timePart timeWork at officeRemote workFlexible hours- ...Clinical Coding Auditor & Trainer Remote (U.S.) Must be willing to travel... ...and coding audits to ensure compliance with federal regulations,... ...policies. This position focuses on DRG validation, inpatient medical record auditing, and education/training for clinical and...Full timeRemote work
$81.1k - $117.47k
...Coding Educator The Coding Educator is responsible for overseeing and educating providers... ...providers on coding guidelines, ensuring compliance around clinical documentation, coding guidelines... ...for all specialties. Responsible for CDI (Clinical Documentation Improvement)...Temporary workWork experience placementLocal area- A healthcare management company is seeking a skilled Oncology Data Specialist Auditor/Educator for a remote position. The ideal candidate should possess ODS certification and experience in re-abstraction audit and education, along with proficiency in Metriq. Responsibilities...Remote job
$70k - $80k
...and solutions company is seeking a Clinical Validation Auditor to ensure accuracy in medical claims coding. This fully remote position requires a Registered... ...analytical skills, attention to detail, and experience in DRG audits. Competitive salary range is $70k - $80k. #J-1...Remote job$69k - $160k
...this role. Vice President, Technology Auditor, Cybersecurity At BNY, our culture... ...FFIEC Handbook. Knowledge of scripting/coding such as Java, Go, C, C+ C#, Ruby, Perl,... ...Bachelor's degree or equivalent combination of education and work experience required. ~ Degree...Temporary workWork experience placementWorldwideFlexible hours$37 - $42 per hour
Full-Time Remote Oncology Data Specialist Auditor/Educator Positions! We are seeking a highly skilled and experienced Oncology Data Specialist Auditor/Educator to join our team. The ideal candidate will have ODS certification with verifiable re-abstraction audit and education...Remote jobFull time- ...integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced knowledge of...Remote work
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