- Zelis (St. Petersburg, FL)
- …you've gained, and the personal interests that shape who you are. Position Overview The Manager , DRG Validation of the Expert Claims Review (ECR) department ... team management of the DRG product. The Manager , DRG Validation will be...primarily responsible for the oversight of DRG validation reviews to ensure accurate and compliant coding… more
- Mount Sinai Health System (New York, NY)
- …requirements. The CRM works in conjunction with the Associate Director and Director of DRG Validation to help develop coding education and training and ... **Job Description** The purpose of DRG validation is to confirm that...? Minimum of 3 to 5 years of experience coding in an acute care hospital. Validation … more
- Elevance Health (Grand Prairie, TX)
- …Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital ... ** DRG CODING AUDITOR** **_Virtual_** **_: _**...billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. +… more
- Hartford HealthCare (Farmington, CT)
- …. Provide ongoing education to the coding and CDI teams regarding DRG validation , payer guidelines, and best practices to minimize future denials. . ... guidelines. *_Working Relationship:_* *This Job Reports To (Job Title):*HIM Manager Coding Quality and Education *Education* ....assignment, and payer regulations related to DRG validation . . Ability to analyze medical records, coding… more
- Elevance Health (Denver, CO)
- … Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation ... **Diagnosis Related Group Clinical Validation Auditor-RN** **Virtual:** This role enables associates to...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
- Marshfield Clinic (Marshfield, WI)
- …concerns and DRG assignments + Assists in the preparation of responses to DRG validation requests and other third party payer inquiries related to coding ... the most exciting missions in the world!** **Job Title:** Hospital Coding Specialist III (Remote) **Cost Center:** 101651098 System Support-Facility Coding… more
- AdventHealth (Maitland, FL)
- … coding and reimbursement system and any weakness identified during the coding validation reviews. Qualifications **The expertise and experiences you'll need ... each year **The role you'll contribute:** Under the general supervision of the Coding Quality Manager , the Data Quality Reviewer is responsible for validating… more
- HCA Healthcare (Austin, TX)
- … Coding Manager in verifying and reporting staff productivity for Coding , DRG /Code Validation , Unbilled, CDI reconciliation and CARS functions **What ... goals. You will also verify complete, accurate, and consistent coding and DRG code validation ...(CARS), and/or CDI Liaisons with day-to-day operations + Assists Coding Manager in the review and improvement… more
- Trinity Health (Livonia, MI)
- …integrity program is required. Must have thorough knowledge of CMS regulations, coding guidelines and DRG reimbursement. Demonstrated knowledge of state and ... work location** **POSITION PURPOSE** At the direction of the Regional Manager , Clinical Documentation Integrity (CDI), this position supervises daily operations of… more
- Covenant Health Inc. (Knoxville, TN)
- …related to initial DRGs and updates to working DRGs and SOI/ROM for final coding and DRG assignment. + Prepares reports for any assigned facilities. Assists ... of documentation, and the appropriate assignment of a final DRG . The CDI specialist functions as an onsite resource...federal regulations to ensure compliance. + Keeps current on coding guidelines and communicates to Health Information Manager… more
- University of Miami (Medley, FL)
- …Coder III to work remotely. Under the general direction of the Inpatient Coding Manager , the Inpatient Coder III reviews documentation in the electronic ... Transformation (CDI) team as part of the clinical documentation validation and physician query workflow. + Analyze and sequence...high dollar accounts that have been assigned by the coding supervisor or manager . + Check IP… more
- University of Miami (Medley, FL)
- …Coder 2 (H) to work in remotely. Under the general direction of the Inpatient Coding Manager , the Inpatient Coder 2 (H) reviews documentation in the electronic ... sequences ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes in accordance with national coding guidelines. The primary focus of this role is to capture all… more