- UPMC (Pittsburgh, PA)
- UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within our Coding Department. This position will be a work-from-home ... necessary in coordination with the Coding Manager and/or Coding Specialist and assist in correcting deficiencies in DRG... Specialist and assist in correcting deficiencies in DRG assignment. + Prepare monthly productivity reports of … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and abstracted data POA, Discharge Disposition. + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG . + Reviews ... leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor** to extract data from patient encounters ensuring the… more
- Covenant Health Inc. (Knoxville, TN)
- …medical record, the accuracy of documentation, and the appropriate assignment of a final DRG . The CDI specialist functions as an onsite resource for clinical ... Overview Clinical Documentation Integrity Specialist Full Time, 80 Hours Per Pay Period,...discharge planning of patients. In order to assure appropriate DRG assignment and the validity and reliability of the… more
- UPMC (Pittsburgh, PA)
- …documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. + High School ... sequenced in order of their clinical significance to accurately assign the appropriate DRG /APC/ASC or payment tier under the Prospective Payment system or DSM IV… more
- Banner Health (OH)
- …quality in the Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from you. **Requirements:** + **5 ... facility-based medical coding (clearly reflected in your attached resume);** + ** DRG and PCS Coding, Auditing experience;** + **Bachelors degree or equivalent;**… more
- Elevance Health (Grand Prairie, TX)
- ** DRG CODING AUDITOR** **_Virtual_** **_: _** _ _ __ _This role enables associates to work virtually full-time, with the exception of required in-person training ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR** is responsible for auditing inpatient medical records… more
- University of Michigan (Ann Arbor, MI)
- …Related Group, (MS- DRG ) or All Patient Refined Diagnosis Related Group, (APR- DRG .) + The Inpatient Coding Specialist is responsible for verification of ... as assignment of the Medicare Severity Diagnosis Related Group, (MS- DRG ) / All Patient Refined - Diagnosis Related Group,...) / All Patient Refined - Diagnosis Related Group, (APR- DRG ) based on payor classification and abstracts specific data… more
- Penn Medicine (Philadelphia, PA)
- …charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician ... our future each day. Are you living your life's work? **HIM Inpatient Coding Specialist II** **Job Summary:** + Performs all coding and abstracting for Penn Medicine… more
- Penn Medicine (Philadelphia, PA)
- …charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician ... Are you living your life's work? **HIM Inpatient Coding Specialist I** Job Summary: + Performs all coding and...procedure, and secondary procedures accurately. Performs analysis of the DRG assigned to produce the highest level of reimbursement… more
- Hartford HealthCare (Farmington, CT)
- …other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials related ... to DRG (Diagnostic Related Group) validation denials. This role involves...follow-up actions, and ensuring compliance with regulatory standards. The specialist also plays a critical role in preventing future… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis ... and procedure codes to assure properly assigned MS- DRG for the purposes of appealing proposed MS-...assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support… more
- Marshfield Clinic (Marshfield, WI)
- …most exciting missions in the world!** **Job Title:** Hospital Coding Specialist III (Remote) **Cost Center:** 101651098 System Support-Facility Coding **Scheduled ... be eligible for a sign-on bonus!**_** **JOB SUMMARY** The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the… more
- St. Luke's University Health Network (Allentown, PA)
- …patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all ... diagnosis and procedure codes to assure properly assigned MS- DRG or APR- DRG for the purpose of appealing proposed DRG and coding changes by insurance… more
- SSM Health (MO)
- …Regular **Job Highlights:** Must have prior experience as a Clinical Documentation Specialist **Required Qualifications:** + 1 year of experience as a Clinical ... Documentation Specialist + Additional Two years' in an acute care...the patient condition in the associated Diagnosis Related Group ( DRG ) assignments, case-mix index, severity of illness (SOI), and… more
- Kaleida Health (Buffalo, NY)
- **Clinical Documentation Specialist ** **Location:** **Larkin Bldg @ Exchange Street** **Location of Job** **: US:NY:Buffalo** **Work Type** **: Full-Time** **Shift ... 1** **Job Description** **The Clinical Documentation Specialist (CDS) professionals strive to promote an accurate and meaningful database that clearly demonstrates… more
- Houston Methodist (FL)
- At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical documentation. This ... position analyzes medical records for DRG 's, complications, and comorbidities; identifies trends; and notes observations and recommendations for documentation… more
- Sharp HealthCare (San Diego, CA)
- …- The American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - The American Health Information Management Association (AHIMA); ... all diagnoses and procedures, including co-morbidities and complications, sequenced, and grouped ( DRG 's, MS- DRG 's and APC's) as mandated. Uses the most accurate… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and ... procedure codes to assure properly assigned MS- DRG for the purposes of appealing proposed MS- DRG and coding changes by insurance providers or their auditors.… more
- Guidehouse (Escondido, CA)
- **Job Family** **:** CDI Specialist **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The CDI Specialist is responsible ... assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial...up case reviews (or worksheet to include code and DRG assignment) and submit to Program Assistant. + Updates… more
- Penn Medicine (Philadelphia, PA)
- …Spruce St + Hours: 8hr Days Summary: + The Clinical Documentation Specialist will be responsible for supporting an organization-wide system for improving clinical ... and other clinicians for complete and accurate documentation. The CD Specialist will utilize presentation, general instruction, and a compliant query discussion… more