Conduct comprehensive MS-DRG and APR-DRG coding audits to validate assignments and identify overpayments.
Apply advanced ICD-10-CM/PCS coding guidelines and AHA Coding Clinic references to produce defensible audit findings.
Prepare clear audit reports and collaborate with stakeholders to maintain high quality and regulatory compliance.
We're a healthcare auditing company specializing in DRG and inpatient coding reviews, ensuring accuracy and reimbursement compliance for leading healthcare clients. We foster a collaborative, inclusive, and supportive remote culture with mentorship programs and ongoing professional development.
Perform inpatient coding quality audits and reviews to ensure accuracy and compliance with coding guidelines and regulatory requirements.
Analyze audit results to identify coding trends and provide feedback, education, and coaching to internal coders and clients.
Participate in senior-level projects such as ICD-10 assessment and development of audit tools and training materials.
UASI provides healthcare auditing and consulting services, specializing in inpatient coding quality and education. With over 40 years of experience, the company has been recognized as a Top Workplace and offers a collaborative, remote work culture.
Audit inpatient medical records to validate ICD-10-CM/PCS coding, DRG assignments, and compliance.
Identify documentation gaps and develop compliant physician queries while collaborating with physicians.
Maintain productivity of at least three chart reviews per hour and complete accurate audit workpapers.
The hiring company provides clinical documentation improvement consulting services to healthcare organizations, focusing on accurate coding, compliance, and reimbursement. It fosters a collaborative, people-first environment and has been recognized as a Great Place to Work for three consecutive years.
Ensures accuracy, completeness, and compliance of medical coding and clinical documentation.
Reviews patient records and coded data to identify discrepancies and support proper reimbursement.
Conducts chart reviews and audits, provides coding education, and prepares audit reports.
Emory Healthcare is a comprehensive healthcare system based in Atlanta, GA, providing a range of medical services. The organization fosters a supportive culture with mentorship, leadership programs, and comprehensive benefits.
Perform complex concurrent and retrospective audits of inpatient and outpatient medical records to validate coded data.
Analyze findings, identify root causes, and prepare summary reports for clients.
Develop and deliver educational content to clients on audit findings and coding compliance.
CorroHealth helps clients exceed their financial health goals through revenue cycle solutions and clinical expertise. The company prioritizes automation and scalability while investing in professional development and long-term careers.
Oversee inpatient coding quality operations and ensure coding compliance with ICD-10 and CMS regulations.
Supervise remote coding audit staff and drive continuous improvement in accuracy and productivity.
Collaborate with clients, HIM, and CDI teams to optimize documentation and reimbursement outcomes.
The company provides inpatient coding quality management and revenue cycle services to multiple healthcare clients. It operates with remote teams and emphasizes compliance and performance improvement.
Perform coding audits on professional fee medical records across multiple specialties.
Provide individualized feedback and education to coders and auditors for quality improvement.
Work remotely with a dedicated support team and enjoy competitive benefits and career growth.
UASI is a health information management consulting firm specializing in medical coding auditing and education. They offer a dynamic work environment with opportunities for career growth and top pay.
Review inpatient medical records to validate DRG coding accuracy.
Apply clinical judgment to identify discrepancies, coding errors, and overpayments.
Document evidence-based audit findings and meet quality standards.
The company specializes in healthcare claims auditing and analytics, improving accuracy and consistency in payments. It is a collaborative, fully remote environment that values precision, teamwork, and continuous improvement.
Conduct detailed outpatient coding audits for ED, SDS, OBS, and I&I services.
Identify coding discrepancies, root causes, and compliance risks to support appropriate reimbursement.
Provide technical guidance and training to coding staff to improve accuracy and quality.
This healthcare organization specializes in hospital outpatient coding, billing, and compliance services. It emphasizes accuracy, quality, and continuous improvement, with a collaborative culture that supports remote work.
Develop and implement education programs to improve coding and documentation practices.
Audit clinical documentation for compliance with AMA and CMS guidelines.
Provide training and guidance to providers, clinical staff, coders, and billing specialists.
UnityPoint Health is a healthcare system serving Iowa, Illinois, and Wisconsin. It is recognized as a top workplace in healthcare and promotes a culture of belonging, support, and professional development.
Review, analyze, and code documentation for hospital inpatient medical records.
Select and sequence appropriate ICD-9-CM and ICD-10-CM diagnosis and procedure codes.
Take primary responsibility for inpatient coding accuracy and compliance.
Piedmont Healthcare is a healthcare organization providing medical services across multiple facilities. It fosters a supportive culture with a focus on employee wellness, recognition, and comprehensive benefits.
Assign and verify CPT, ICD-10 CM coding and modifiers based on documentation, ensuring compliance with official coding guidelines.
Resolve claim edits and denials, monitor charge capture volumes, and work with providers and clinic staff to ensure accurate charge capture.
Act as a subject matter expert in one or more specialties, identify trends and educational opportunities, and may train other coders.
Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children, providing a wide range of care from routine visits to life-saving treatments. The organization fosters a diverse and inclusive culture and seeks individuals committed to its vision of the healthiest kids in the country.
Assigns ICD-9 and/or ICD-10 codes to inpatient encounters with the highest accuracy following official coding guidelines.
Works closely with physicians, clinical documentation specialists, quality, and patient finance teams to ensure accurate DRG assignment and data extraction.
Plays a key role in billing, research, regulatory compliance, and reporting to support patient acuity and quality outcomes.
Emory Healthcare is a comprehensive health system providing patient care, research, and education across multiple hospitals and clinics. They foster a supportive culture with mentorship, leadership programs, and a focus on professional growth, serving a large and diverse workforce.
Manages systems and operations for inpatient coding, ensuring accurate and compliant ICD-10 code assignments and DRG determinations.
Serves as a liaison and coordinator for special projects, interacting with clinical and financial teams to maintain regulatory and revenue integrity.
Trains and monitors coding specialists, setting daily priorities to assure timely billing and compliance.
The Ohio State University is a top-20 public university and one of America's leading academic health centers, focused on education, research and health care. It offers a collaborative culture with a strong sense of community, Buckeye spirit, and abundant resources for employees.
Analyze and interpret complex records to accurately bill for Trauma 1 facility Inpatient services.
Assign and sequence correct diagnostic and procedure codes in compliance with third-party payor requirements.
Obtain clarification on conflicting, ambiguous, or non-specific documentation as needed.
Sutherland engineers digital outcomes for global enterprises through AI, automation, and cloud engineering. With 363 unique inventions and 250 AI-based patents, we drive digital transformation at scale for iconic brands.
Serve as an expert-level coder for complex inpatient records, ensuring accurate data retrieval and reimbursement.
Resolve billing inquiries, manage DRG denials, conduct audits, and support revenue cycle integrity.
Mentor coding staff and collaborate with management on training, education, and process improvements.
CommonSpirit Health operates more than 700 care sites across the U.S., from clinics and hospitals to home-based and virtual care services. With a mission to build healthy communities and advocate for the poor and vulnerable, they foster a culture of compassion and innovation.
Review outpatient medical records to assign appropriate ICD-10, CPT, and HCPCS codes.
Ensure coding accuracy and compliance with regulations, payer policies, and guidelines.
Collaborate with billing teams to resolve coding-related denials and support accurate claims.
The University of Mississippi Medical Center is a leading academic medical center dedicated to educating health professionals, discovering new cures, and providing high-quality care. It is a large institution that fosters a culture of respect, compassion, and belonging for all.
Assign appropriate ICD-10-CM and CPT-4 codes to outpatient visits and physician encounters.
Review medical records thoroughly to code diagnoses, procedures, and evaluation and management services.
Resolve NCCI, NCD/LCD, and other outpatient edit claim failures while meeting productivity and quality standards.
Northwestern Medicine is a leader in the healthcare industry with a patient-first approach. We offer competitive benefits from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, and we aim to cultivate a positive workplace.
Review and abstract professional medical records to ensure accurate code assignment.
Assign ICD-10-CM, CPT, HCPCS, and modifiers per national and payer-specific guidelines.
Maintain coding quality, compliance, and productivity standards while staying current on updates.
Sprinter Health reimagines access to care by bringing it directly to patients' homes via technology. It has supported 2M+ patients across 22 states, completed 130,000+ visits, raised over $125M, and maintains a 92 NPS.
Conduct thorough patient chart reviews to identify and validate reportable diagnoses.
Assign accurate ICD-10-CM diagnosis codes and apply MEAT criteria to support risk adjustment.
Collaborate with providers and quality teams to improve HCC documentation accuracy.
Bluestone provides coordinated, proactive care for patients with complex chronic conditions and disabilities. Its culture of Dedication, Excellence, Collaboration, and Caring has earned Top Workplace honors for 14 years.