5 drg coding auditor jobs found

Job Description Job Description About Us: We are a busy internal medicine practice dedicated to providing exceptional patient care. We are seeking a highly skilled and detail-oriented Medical Biller & Coder to join our team and ensure accurate billing and coding processes. Key Responsibilities: Accurately code diagnoses and procedures for internal medicine patients using ICD-10-CM, CPT, and HCPCS Level II Submit insurance claims, follow up on denials, and manage appeals efficiently Post patient payments, reconcile accounts, and maintain accurate records Audit charts for coding accuracy and compliance with payer guidelines Communicate professionally with patients, providers, and insurance companies Ensure full HIPAA compliance and patient confidentiality Qualifications: 2+ years of experience in medical billing and coding, preferably in internal medicine Strong knowledge of insurance claims, prior authorizations, and payer rules...

Medical Coder Compliance Spec Perform coding quality audits on outpatient records to assure appropriateness, accuracy, and compliance for CPT/HCPCs, ICD-10-CM code assignments, and modifier assignment in accordance with Center of Medicare and Medicaid Service (CMS) Guidelines, AMA and AHA Official ICD-10-CM Coding Guidelines. Provide ongoing feedback to managers and coders. Develop and implement educational programs regarding elements of the coding compliance program and act as a subject matter expert for the outpatient coding department. Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society....

Join to apply for the Certified Professional Coder Consultant role at Yeo & Yeo CPAs & Advisors . Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever‑changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD‑10 coding. Our staff is highly trained with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes and our billing specialists receive ongoing, specialty‑specific training. We continually update our staff on insurance carrier trends and billing rule changes. At Yeo & Yeo Medical Billing & Consulting, our people are our future. We provide a venue for individuals who...

Advanced Coding Position Positions Location: Lansing, MI Job Description General Purpose of Job: Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes Optum CAC in accordance with established workflow. Follows University of Michigan Medicine Sparrow policies and procedures and maintains required quality and productivity...

Job Opportunity Job ID:49762 Positions Location: Lansing, MI Job Description General Purpose of Job: Advanced Description: Positions Location: Lansing, MI Job Description General Purpose of Job : Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes Optum CAC in accordance with established workflow. Follows...