1 jobs found in Belmar

Coding Auditor (ICD-10) Position: Coding Auditor (ICD-10) Duration: Full-Time Location: Newark/Wall NJ Job Summary: This position is responsible for conducting on site audits of hospital billing and coding practices and desk audits; forms development, profiling and tracking institutional audit trends. Performs and finalizes multiple per diem, bill verification, DRG Validation (utilization review audits) and credit balance. Additionally provides guidance/instruction to various stakeholders on ICD9-CM, ICD-10, DRG assignment payment and auditing. Responsibilities: Identifies and presents billing discrepancies found during audit and coordinates referral of improper claim payments through the appropriate channels. Identifies error trends as they relate to medical record and or billing documentation or misinterpretation of provider contract stipulations. Compiles statistics and other audit information to present to accounts, regulatory agencies, and internal requesters....