HealthCare Support
DRG Audit Program Director (JO#450418)
HealthCare Support, Fort Worth, Texas, United States, 76102
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HealthCare Support is seeking a
DRG Audit Program Director
to fill an opening with a Payment Integrity and Claims Review Company in Fort Worth, TX! Daily Responsibilities for DRG Audit Program Director : Leads a team that reviews hospital bills to make sure insurance companies are paying the correct amount Finds and fixes errors in how medical treatments are coded and documented to prevent overpayments Makes sure the information in patient records is complete and accurate Helps improve the processes that hospitals and coders use to ensure billing is done properly Works closely with different departments to improve how healthcare payments are reviewed and managed Hybrid Role I Monday-Friday, daytime hours Required Qualifications for DRG Audit Program Director : Bachelor's degree in Health Information Management (HIM), Nursing, Healthcare Administration, or a related field Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS) or Certified Inpatient Coder (CIC) through the AHIMA (American Health Information Management Association) 7-10 years of progressive experience in DRG coding, clinical validation, medical auditing, or payment integrity, with a strong focus on inpatient DRGs (MS-DRG, APR-DRG, AP-DRG) 3-5 years of leadership or management experience in a healthcare audit or payment integrity setting Experience with ICD-9/10-CM/PCS coding guidelines, Medicare and Commercial coding rules, regulations, and prospective payment systems Proven experience in managing and developing audit programs Experience with Readmission reviews is a plus Benefits for DRG Audit Program Director : Benefit coverage begins 1st of the month following 60 days of employment Medical (Regence Blue or Kaiser), Vision, Dental PTO: 10 days 7 Paid Holidays, 2 Floating Holidays, and 2 weeks of sick time HSA, Life, AD&D, and 401K Discretionary Match $160,000 – $175,000 + 10% annual bonus Interested in being considered? If you are interested in applying to this position, email Melanie Williams a copy of your resume at
melanie.williams@healthcaresupport.com
with the job title and location, and she will reach out. Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law. Seniority level
Seniority level Director Employment type
Employment type Full-time Job function
Job function Management, Finance, and Product Management Industries Hospitals and Health Care Referrals increase your chances of interviewing at HealthCare Support by 2x Inferred from the description for this job
Medical insurance Vision insurance 401(k) Get notified when a new job is posted. Sign in to set job alerts for “Audit” roles.
Special Agent: Accounting/Finance Background
Dallas-Fort Worth Metroplex $99,461.00-$128,329.00 5 days ago ASSISTANT AUDITOR - FINANCIAL, Auditor's Office
Fort Worth, TX $50,000.00-$65,000.00 2 months ago Irving, TX $47,000.00-$55,000.00 22 hours ago Arlington, TX $90,000.00-$110,000.00 1 month ago 1st shift Quality Control Technician $18.00-$23.50 plus/hr. DOE
Vice President of Enterprise Risk Management
Fort Worth, TX $130,000.00-$145,000.00 1 week ago Irving, TX $130,000.00-$150,000.00 1 week ago Fort Worth, TX $65,000.00-$85,000.00 1 week ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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HealthCare Support is seeking a
DRG Audit Program Director
to fill an opening with a Payment Integrity and Claims Review Company in Fort Worth, TX! Daily Responsibilities for DRG Audit Program Director : Leads a team that reviews hospital bills to make sure insurance companies are paying the correct amount Finds and fixes errors in how medical treatments are coded and documented to prevent overpayments Makes sure the information in patient records is complete and accurate Helps improve the processes that hospitals and coders use to ensure billing is done properly Works closely with different departments to improve how healthcare payments are reviewed and managed Hybrid Role I Monday-Friday, daytime hours Required Qualifications for DRG Audit Program Director : Bachelor's degree in Health Information Management (HIM), Nursing, Healthcare Administration, or a related field Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS) or Certified Inpatient Coder (CIC) through the AHIMA (American Health Information Management Association) 7-10 years of progressive experience in DRG coding, clinical validation, medical auditing, or payment integrity, with a strong focus on inpatient DRGs (MS-DRG, APR-DRG, AP-DRG) 3-5 years of leadership or management experience in a healthcare audit or payment integrity setting Experience with ICD-9/10-CM/PCS coding guidelines, Medicare and Commercial coding rules, regulations, and prospective payment systems Proven experience in managing and developing audit programs Experience with Readmission reviews is a plus Benefits for DRG Audit Program Director : Benefit coverage begins 1st of the month following 60 days of employment Medical (Regence Blue or Kaiser), Vision, Dental PTO: 10 days 7 Paid Holidays, 2 Floating Holidays, and 2 weeks of sick time HSA, Life, AD&D, and 401K Discretionary Match $160,000 – $175,000 + 10% annual bonus Interested in being considered? If you are interested in applying to this position, email Melanie Williams a copy of your resume at
melanie.williams@healthcaresupport.com
with the job title and location, and she will reach out. Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law. Seniority level
Seniority level Director Employment type
Employment type Full-time Job function
Job function Management, Finance, and Product Management Industries Hospitals and Health Care Referrals increase your chances of interviewing at HealthCare Support by 2x Inferred from the description for this job
Medical insurance Vision insurance 401(k) Get notified when a new job is posted. Sign in to set job alerts for “Audit” roles.
Special Agent: Accounting/Finance Background
Dallas-Fort Worth Metroplex $99,461.00-$128,329.00 5 days ago ASSISTANT AUDITOR - FINANCIAL, Auditor's Office
Fort Worth, TX $50,000.00-$65,000.00 2 months ago Irving, TX $47,000.00-$55,000.00 22 hours ago Arlington, TX $90,000.00-$110,000.00 1 month ago 1st shift Quality Control Technician $18.00-$23.50 plus/hr. DOE
Vice President of Enterprise Risk Management
Fort Worth, TX $130,000.00-$145,000.00 1 week ago Irving, TX $130,000.00-$150,000.00 1 week ago Fort Worth, TX $65,000.00-$85,000.00 1 week ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr