11 drg coding auditor jobs found

A leading health insurance provider based in Olympia, WA, is seeking an Inpatient Medical Coding Auditor. The role involves reviewing inpatient hospital claims for proper reimbursement and requires strong qualifications, including RHIA, RHIT, or CCS certification with MS-DRG experience. This remote position allows for flexible work hours and contributes significantly to cost reduction and accuracy in provider payments. Join a company committed to the well-being of its clients and team members. J-18808-Ljbffr

A leading data collaboration company in Olympia, WA, seeks an Inpatient Auditing Specialist. This role focuses on coding quality, compliance assessments, and education in a fully remote setting with a flexible schedule. Candidates should have 3+ years of experience in inpatient coding and auditing, with a preference for CCS certification. Benefits include competitive salary, sign-on bonus, and comprehensive training. #J-18808-Ljbffr

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Inpatient Medical Coder Company Overview Health Partners Management Group, Inc (HPMG) is a government contracting company in Poplar Bluff, Missouri. HPMG is bidding on a federal contract for coding positions. You will be a W-2 employee for HPMG, not a government employee. Summary Responsible for assignment of accurate ICD codes for diagnoses and procedures. Medical Severity - Diagnostic Related Group (MS-DRG) is automatically assigned by the grouper software for inpatient stays. Inpatient coders may also be responsible for the assignment of accurate ICD diagnoses, Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities from medical record documentation (paper or electronic) for inpatient professional services (rounds or IBWA encounters). Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. Knowledge and Skills Excellent computer and communication skills for...

Inpatient Facility Medical Coder To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Kaiser Permanente organization/institutional coding...

Certified Coder US:WA:Mount Vernon | Administrative Non-Clinical Support | Per Diem 37.72 - 50.59 USD per hour Description Department: Health Information Management SVH Exempt: No Schedule: DAYS Position Type: Per Diem FTE: 0.000001 Base Wage $37.72 to $50.59 Location: Skagit Valley Hospital Sign-On Bonus: $1,000.00 Job Summary: Responsible for the accurate coding and abstracting of inpatient and outpatient diagnoses and procedures into codes using an international classification of diseases. The Certified Coder will ensure that records are coded in an accurate and timely manner as well as work closely with physicians and documentation nurses or specialists to consistently and accurately translate clinical documentation and medical records into ICD-10, HCPCS, CPT, Modifiers and assign Ambulatory Payment Classifications (APC) and/or Diagnosis-Related Group (DRG) codes. Essential Functions: Accurately applies ICD-10, HCPCS, CPT, APC or DRG codes for both routing and complete...

Job Title: Coder/Abstractor III (Remote, WA residents only) Location: Remote (Renton, WA) Department: Health Information Management Shift: Days Hourly Rate: $28.00–$46.80 (DOE) Job Overview Responsible for hospital inpatient coding and abstracting based on documentation and coding guidelines within established productivity standards for all accounts assigned. Resolves coding related edits and denials and provides ongoing feedback and education to physicians and clinicians. Responsible for following up on all accounts unable to code due to missing or incomplete documentation or charges. Prerequisites Associate or bachelor’s degree in Health Information Management, required. RHIA, RHIT, or CCS certification, required. Three or more years of exclusive inpatient hospital coding experience, required. Advanced ability to use and understand DRG, ICD‑10‑CM, and ICD‑10‑PCS coding methodologies. Advanced knowledge of anatomy, physiology, pharmacology, disease processes, and...

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...

Department: Business Office SRH Exempt: No Schedule: DAYS Position Type: Full Time 0.6 FTE or More FTE: 1.000000 Base Wage $37.72 to $50.59 Location: SRH Business Center Sign-On Bonus: $1,000.00 The information described in this job description has been designed to indicate the general nature of the work performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. Other information: Job Summary Responsible for the accurate coding and abstracting of inpatient and outpatient diagnoses and procedures into codes using an international classification of diseases. The Certified Coder will ensure that records are coded in an accurate and timely manner as well as work closely with physicians and documentation nurses or specialists to consistently and accurately translate clinical documentation and medical records into ICD-10, HCPCS, CPT, Modifiers and...

CLOSING DATE: Open Until filled with Bi-weekly reviewsPOSITION: Medical Billing Specialist (2 positions)SALARY: $23.08 to $28.12 per hour DOEREPORTS TO: Revenue Cycle SupervisorLOCATION: Nespelem Health Center, 6 month training in Nespelem, WA, with possibility of working in other districts upon completion of training.Basic Functions: This is a Non-Exempt position. Performs clerical standard and procedures of the Medical Billing Office through direct contact with eligible programs using computer-aided data entry screens.MINIMUM QUALIFICATIONS:Education and Training:Requires a High School Deploma or GEDRequires 12 months billing and coding experience with Anatomy and Pathophysiology trainingWilling to obtain a Certified Professional Coder (CPC) certificate or Certified Professional Biller (CPB) certificate from the American Academy of Professional Coders (AAPC) within 36 months of hire and maintain certification throughout employment.May require valid driver’s license and be...

CLOSING DATE: Open Until filled with Bi-weekly reviews POSITION: Medical Billing Specialist (3 positions) SALARY: $21.82 to $23.85, per hour DOE LOCATION: Nespelem Health Center, 6 month training in Nespelem,WA, with possibility of working in other districts upon completion of training. Basic Functions: This is a Non-Exempt position. Performs clerical standard and procedures of the Medical Billing Office through direct contact with eligible programs using computer-aided data entry screens. Minimum Qualifications: Education and Training: Typically requires an AA Degree Requires 12 months billing and coding experience with Anatomy and Pathophysiology training Requires a Certified Professional Coder (CPC) certificate from the American Academy of Professional Coders or Certified Coding Specialist (CCS) certificate from the American Health Information Management Association or ability to obtain within 90 days of hire and maintain certification throughout employment. May...