7 drg coding auditor jobs found

Northwell Health is seeking a Registered Nurse CDI Auditor to validate acute inpatient coded charts and ensure documentation substantiates diagnostic information. This remote position in New York requires a NY RN license, a BSN, and strong knowledge of coding guidelines. You will audit DRG assignments, communicate changes to CDI staff, and ensure compliance with federal and state regulations. #J-18808-Ljbffr

Datavant is a data collaboration platform trusted for healthcare. The Inpatient Auditing Specialist role focuses on inpatient facility coding audits, providing clear rationale and references, and staying current with regulatory changes. This position is fully remote with a flexible schedule, and may include PRN support for IA IP auditing; spinal experience is a plus, with an expected 20 hours per week. You will work with Epic, Cerner, and other EMRs, maintaining high DRG accuracy, and delivering #J-18808-Ljbffr

Northwell Health in New York is seeking an experienced RN to validate Acute Inpatient coded charts, ensuring documentation supports DRG assignments. The role requires HCS-D and COS-C certificates for OASIS, with a focus on compliance and coding accuracy. This remote, NY-based position emphasizes audit of Medicare and non-Medicare charts, applying coding rules, and communicating changes to CDI staff. Bachelor's in Nursing and NY RN license are required, with CHHA experience preferred. #J-18808-Ljbffr

Job Description Job Description   PYA is seeking an experienced Inpatient/Outpatient Facility Coding Auditor to join our nationally recognized  Revenue and Compliance Advisory team. As a trusted advisor to leading healthcare organizations, you will apply your expertise in coding, reimbursement, compliance, and documentation to help clients improve revenue integrity and reduce risk. WHAT YOU'LL DO Perform inpatient and outpatient facility coding audits and reimbursement reviews, including:  ICD-10-CM/PCS, CPT, and HCPCS coding validation MS-DRG and APC validation Charge capture and revenue integrity reviews Clinical documentation improvement (CDI) assessments Third-party payer compliance evaluations Deliver high-quality client reports, recommendations, and presentations  Manage multiple engagements while maintaining exceptional quality and compliance standards  Collaborate with PYA's consulting, compliance, and executive teams to deliver comprehensive...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.What We're Looking ForWe're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position in New York. Job Responsibility Leverages clinical expertise to identify and validate DRG code assignment. Full review of CDI suggested code changes Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Applies coding rules and regulations to the validation review process. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. Communicates DRG changes and rationale to the coding and CDI staff. Identifies appropriate coding...