644 inpatient drg coding auditor jobs found

Location: Atlanta, Georgia, United StatesCompany: Emory HealthcarePosted: Inpatient Drg Coding AuditorBe inspired. Be valued. Belong.At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:Comprehensive health benefits that start day 1Student Loan Repayment Assistance & Reimbursement ProgramsFamily-focused benefitsWellness incentivesOngoing mentorship, development, leadership programs...and more!Job DescriptionWe are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This individual will:Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data...

Overview Be inspired. Be valued. Belong. At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoingmentorshipand leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Description JOB DESCRIPTION: Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition. Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Reviews non-CC/MCC records to determine if record was miscoded or if...

Emory Healthcare Job Opportunity Be inspired. Be valued. Belong. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Job Description JOB DESCRIPTION: Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition. Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Reviews non-CC/MCC records to determine if...

OU Health is seeking an Inpatient Coding Auditor for a work-from-home role. The ideal candidate has experience with complex inpatient coding and DRG validation in an academic health system, with RHIA/RHIT/CCS/CPC/CIC certification. The position supports auditing, education, and continuous improvement from a remote location. Responsibilities include reviewing inpatient coding quality, performing peer audits, collaborating with departments, and ensuring compliance with coding guidelines. #J-18808-Ljbffr

OU Health is seeking an Inpatient Coding Auditor to ensure accurate, quality, and compliant inpatient facility coding through prebill and retrospective audits. The role supports coding integrity and education within the HIM Coders team, with remote work eligibility. The ideal candidate has inpatient coding auditing or DRG validation experience, professional certifications (RHIA/RHIT/CCS/CPC/CIC), and the ability to work independently in a remote or partly remote environment across multiple #J-18808-Ljbffr

Humana Inc. seeks an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement, handling provider disputes in a metric-driven environment. This is a remote/work-at-home role with occasional travel to Humana offices for training or meetings. Typical hours are Monday–Friday, 8 hours per day, within 6 AM–6 PM, with some flexibility. Requires RHIA/RHIT/CCS and MS-DRG auditing experience, in-depth claims interpretation, and strong attention to detail. #J-18808-Ljbffr

Humana is seeking an experienced Inpatient Medical Coding Auditor to review hospital claims, assign DRGs, and ensure proper reimbursement. This remote role supports our nationwide operations with occasional travel to Humana offices for training. You will analyze records, enter and manipulate data, and respond to internal requests while upholding HIPAA and confidentiality. Strong MS-DRG experience and certifications are required to succeed in our metric-driven environment. #J-18808-Ljbffr

Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes, and ensure accurate DRG assignments. The role requires analyzing information, working with HIPAA-compliant data, and delivering precise coding analyses from home. The position is remote with occasional travel to Humana offices for training or meetings. Typical work hours are 40 per week during standard business days, with a pay range to be #J-18808-Ljbffr

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 candidates will have an active RN license, relevant coding certifications, and experience in clinical practice. A competitive salary of $85,000 to $90,000 is offered, along with a comprehensive benefits package. #J-18808-Ljbffr

Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and accurate DRG assignments. The role requires MS-DRG coding/auditing experience, claim interpretation, and strong attention to detail. The position is remote with occasional travel to Humana offices for training or meetings. Typical hours are Monday–Friday, with a 40-hour work week and a competitive pay range. #J-18808-Ljbffr

Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and to assign ICD-10-CM and CPT codes to patient records. The role involves analyzing complex data and ensuring accurate DRG assignments. The requirements include RHIA/RHIT/CCS certification, MS-DRG coding/auditing experience, proficiency with Microsoft Office, and strong attention to detail. This is a remote position with occasional travel for training and meetings. #J-18808-Ljbffr

Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and accurate DRG assignments. The role requires MS-DRG coding/auditing experience, claim interpretation, and strong attention to detail. The position is remote with occasional travel to Humana offices for training or meetings. Typical hours are Monday–Friday, with a 40-hour work week and a competitive pay range. #J-18808-Ljbffr

Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement, ensuring accurate DRG assignments and provider payments. This remote role requires MS-DRG coding experience and the ability to work with complex data. Responsibilities include analyzing claims, responding to internal requests, and maintaining confidentiality while delivering high-quality audits in a metrics-driven environment. Some travel for training may be required. #J-18808-Ljbffr

Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes, and ensure accurate DRG assignments. The role requires analyzing information, working with HIPAA-compliant data, and delivering precise coding analyses from home. The position is remote with occasional travel to Humana offices for training or meetings. Typical work hours are 40 per week during standard business days, with a pay range to be #J-18808-Ljbffr

Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and to assign ICD-10-CM and CPT codes to patient records. The role involves analyzing complex data and ensuring accurate DRG assignments. The requirements include RHIA/RHIT/CCS certification, MS-DRG coding/auditing experience, proficiency with Microsoft Office, and strong attention to detail. This is a remote position with occasional travel for training and meetings. #J-18808-Ljbffr

OU Health is seeking an Inpatient Coding Auditor for a work-from-home role. The ideal candidate has experience with complex inpatient coding and DRG validation in an academic health system, with RHIA/RHIT/CCS/CPC/CIC certification. The position supports auditing, education, and continuous improvement from a remote location. Responsibilities include reviewing inpatient coding quality, performing peer audits, collaborating with departments, and ensuring compliance with coding guidelines. #J-18808-Ljbffr

Northwell Health is seeking an Acute Inpatient Coding Validation professional in New York to validate DRG assignments based on the documentation in the Medical Record. You will perform full reviews of CDI suggested code changes and apply coding rules. Audits cover Medicare and non-Medicare charts to ensure compliance with federal and state regulations. Candidates should hold a NY RN license with a BSN or equivalent and ICD coding experience; inpatient rehab experience preferred. #J-18808-Ljbffr

AdventHealth is seeking a skilled Coding Auditor/Quality Reviewer to join our Revenue Cycle team in Florida. You will perform quality reviews of coded records for ICD-10, ICD-10-PCS, MS-DRG and APR-DRG accuracy, while educating staff on changes in the coding and reimbursement landscape. You will interpret clinical documentation, request clarifications from physicians, and help write compelling DRG appeals to defend assignments and protect reimbursement. #J-18808-Ljbffr

DEPARTMENT: Physician Practice Management FACILITY: Medical Office Building WORK TYPE: Full Time SHIFT: Daytime SUMMARY: Assess the educational needs of coding specialists and providers regarding coding and documentation and direct development of effective regularly scheduled educational programs that meet the needs of the health system. Serve as the primary resource to physicians for documentation and coding issues. Conduct ongoing coding and billing training programs for billing and coding specialists and providers. Creates presentations, develops learning material, handbook, and other training materials. Conducts coding and data quality reviews and prepares complex reports as required. Ensures all education activities comply with clinical billing standards and government regulation with concentration on hospital inpatient procedures, ambulatory, and specialty physician services. RESPONSIBILITIES: * Keeps abreast of pertinent federal, and state regulations...

Ensemble Health Partners seeks an Inpatient/DRG Validation Coding Auditor to review medical records and ensure accurate DRG assignment and documentation. You will identify discrepancies, educate coders, and help improve reimbursement accuracy for hospital clients. The role requires 5+ years of coding and 3+ years of facility audit experience, proficiency with EMR systems and encoders, and maintaining HIPAA compliance. #J-18808-Ljbffr

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!O.N.E Purpose:Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for...

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...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Coding Auditor SeniorCandidates must reside either in Washington or Oregon to be considered for this position.Essential Responsibilities:Proficient in medical record review and translating clinical information into coded data. Identify and assign appropriate codes for diagnoses, procedures and other services rendered, while also validating any Computer Assisted Coded (CAC) assignments for dual coding. Utilizing the Code Base Charge Trigger system (CBCT) and OPTUM 360 EncoderPRO software system for professional surgical services, analyzing and maintaining systems accuracy, validity and meaningfulness for both professional and facility services. Utilizes electronic patient data system and clinical information system (EpicCare) to access patient encounter information. Abstracts and enters clinical data elements as defined by the needs of the organization. Identifies and assigns principal diagnosis and procedure codes, sequencing them as needed for proper Ambulatory Payment...