• Lead Inpatient DRG

    Vanderbilt University Medical Center (Nashville, TN)
    …monitoring third-party payor audits and ensures accurate and optimum payor reimbursement. . The Lead Inpatient Coding Consultant / Educator will educate the ... an ongoing training plan related to clinical documentation and coding improvement. Develops and delivers educational programs and presentations....following staff: + Inpatient Coders + Clinical Documentation Specialist (CDS) + Auditors… more
    Vanderbilt University Medical Center (03/30/24)
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  • Lead Inpatient DRG

    Vanderbilt University Medical Center (Nashville, TN)
    …and improvement. Supports denials management process and other initiatives. . ** INPATIENT CODING EXPERIENCE REQUIRED / Auditor Background Preferred** KEY ... subject matter expertise with staff. Performs audits of inpatient and/or outpatient coding . Understands and applies...and working knowledge of other areas. Team Interaction: May lead mid-sized projects; coaches and guides team members. **Core… more
    Vanderbilt University Medical Center (05/26/24)
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  • DRG Validation Manager

    Zelis (Plano, TX)
    …for the oversight of DRG validation reviews to ensure accurate and compliant coding based on industry standard inpatient coding guidelines and rules, ... in client facing meetings as necessary + Identify new DRG coding concepts to drive growth opportunities....Knowledge, and Experience: + Registered Nurse licensure required + Inpatient Coding Certification required (ie, CCS, CIC,… more
    Zelis (06/11/24)
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  • DRG Reviewer

    HSS (New York, NY)
    …for optimal reimbursement by the organization, while also ensuring compliant and accurate inpatient coding . PRIMARY RESPONSIBILITIES + Monitors coding and ... across the enterprise. DRG Reviewer Full-Time The DRG Reviewer reports to the Director of Coding...A minimum of 5 years of experience in hospital inpatient , or integrated healthcare delivery system coding more
    HSS (05/10/24)
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  • Inpatient Coding & Clinical…

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …the manager will lead the coordination and collaboration of health information, inpatient clinical documentation and inpatient coding within the HCMC ... *_SUMMARY_* We are currently seeking an * Inpatient Coding and Clinical Documentation Improvement...auditors (ex: RAC, MIC, ZIP, etc.) regarding quality, profiling, coding and reimbursement measures. * Lead the… more
    Minnesota Visiting Nurse Agency (06/18/24)
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  • Inpatient Coding Auditor I

    R1 RCM (Detroit, MI)
    …of ICD-10 coding and DRG reimbursement experience, with recent acute inpatient coding experience For this US-based position, the base pay range is ... As the Inpatient Coding and Documentation Auditor I,...Documentation Auditor I, your primary role will be auditing inpatient cases for DRG validation and/or documentation… more
    R1 RCM (06/16/24)
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  • Inpatient Coding Auditor II

    R1 RCM (Detroit, MI)
    …- one that promotes patient satisfaction and improves financial performance. As the Inpatient Coding and Documentation Auditor II, your primary role will be ... auditing inpatient cases for DRG validation and/or documentation...the accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role.… more
    R1 RCM (06/12/24)
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  • Corporate Coding Education Trainer…

    Nuvance Health (Danbury, CT)
    Corporate Coding Education Trainer - Inpatient Location: Danbury, CT, United States Requisition ID: 12104 Salary Range: 31.25 - 58.05 HOURLY Work Shift: Monday ... Physiology, ICD10,CPT(R), Coding guidelines, and methodologies. + Expert knowledge of DRG , APC, NCCI, LCD, NCD reimbursement methodologies and expertise in the … more
    Nuvance Health (06/01/24)
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  • coder IV inpatient coder

    Trinity Health (Livonia, MI)
    …with the 72-hour rule and other account combine scenarios. Adheres to Inpatient coding quality and productivity standards established by Revenue Excellence/HM. ... coding process and references to assign ICD codes, MS- DRG , APR DRGs, POA, SOI & ROM indicators. Reviews...by credentialing associations. Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations… more
    Trinity Health (06/14/24)
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  • Coding Lead / CDI Specialist

    Scottish Rite for Children (Dallas, TX)
    …priority! We're committed to giving children back their childhood! Job Posting Title: Coding Lead / CDI Specialist Location: Dallas - Hospital Additional Posting ... documentation of diagnoses and procedures for accurate assignment of DRG /APR- DRG , that have an impact on severity...in an acute care hospital and clinic setting + Inpatient Coding preferred. + Demonstrates ability to… more
    Scottish Rite for Children (05/15/24)
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  • Lead , CDI Coding

    UPMC (Harrisburg, PA)
    This CDI Coding Lead is a hybrid opportunity that oversees CDI operations for UPMC Harrisburg and UPMC Community Osteopathic. The selected candidate would have ... CDI optimization for inpatients concurrently, as well as post coding DRG optimization, including the coordination of...enhance the coding knowledge base of all inpatient coding . + When necessary, complete CDI… more
    UPMC (05/16/24)
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  • Clinical Coding Specialist

    Trinity Health (Mishawaka, IN)
    … experience is required. Two to four years of hospital based inpatient coding experience is preferred. Experience utilizing encoding/grouping software with ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Inpatient Clinical Coding Specialist III Fully...assignment of International Classification of Diseases, MS- DRG , APR- DRG , POA, SOI & ROM assignments. Utilizes coding more
    Trinity Health (06/21/24)
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  • Coding Reimbursement Appeals Supervisor…

    Glens Falls Hospital (Glens Falls, NY)
    …3-5 year of lead /supervisory experience Associates Degree with-5-7 years of Inpatient Coding and appeal writing experience, highly developed lead ... all coding types but with emphasis on Inpatient Coding . Collaborates with Professional Coders, Clinical...educate and offer expertise in the area of documentation, coding and DRG methodologies. Performs ongoing monitoring… more
    Glens Falls Hospital (04/17/24)
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  • Director Revenue Cycle Automation, Strategic…

    Henry Ford Health System (Detroit, MI)
    …directs and oversees clinical revenue cycle automation, Emergency Department, and Inpatient Professional Coding operations. Job duties include oversight of ... for the health system. + Responsible for all hospital coding functions to include Inpatient professional and...Coding Council, Compliance . + May develop and/or lead committees/teams related to coding , regulatory changes,… more
    Henry Ford Health System (06/12/24)
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  • Coding Specialist III - Full Time Days…

    Trinity Health (Albany, NY)
    …Improvement Specialists (CDIS) regarding documentation issues or needs related to Inpatient coding . + Collaborates with Regional Shared Services (HIM ... in the assignment of ICD-9-CM, ICD-9-PCS, CPT-4(R), HCPCS codes, MS- DRG , POA, SOI & ROM assignments, APC assignment and...required.** Two (2) years of current Complex Outpatient or Inpatient coding experience is required. Three (3)… more
    Trinity Health (05/10/24)
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  • Coding Payment Resolution Specialist-I…

    Trinity Health (Farmington Hills, MI)
    …outpatient coding experience or minimum of two (2) years of relevant hospital inpatient coding experience including DRG assignment. Must be a Registered ... codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims, or other coding reasons and...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
    Trinity Health (06/14/24)
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  • Clinical Documentation Integrity Lead

    Sutter Health (Sacramento, CA)
    …severity of illness, risk of mortality, and appropriate Diagnosis Related Group ( DRG ) assignment for each inpatient admission. Submits provider queries for ... assignments (upon completion of training) High degree of hospital coding knowledge, including but not limited to APR- DRG... coding knowledge, including but not limited to APR- DRG , MS- DRG , HCCs, Medicare, Medicaid & Managed… more
    Sutter Health (06/06/24)
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  • Lead Coder

    SUNY Upstate Medical University (Syracuse, NY)
    …quality reviews. This employee will manage work flow, train new coders, write coding policies and procedures and responds to DRG issues. Minimum Qualifications: ... Job Summary: The Lead Coder is responsible for assisting the Associate...and at least 2 years post RHIT/RHIA experience with inpatient /outpatient coding in an acute care facility… more
    SUNY Upstate Medical University (06/06/24)
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  • Clinical Documentation Specialist - RN

    Trinity Health (Fort Lauderdale, FL)
    …and compliant working diagnoses codes, establishing a working principle diagnosis and working DRG (MS or APR). Collaborates with coding staff to ensure ... reviews the clinical record for accuracy related to the MS- DRG or the APR DRG , co-morbidities and...- 100% Remote** **POSITION PURPOSE** Utilizes advanced clinical and coding expertise to direct efforts toward the integrity of… more
    Trinity Health (06/18/24)
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  • HIM - Health Record Coder III, Full Time

    Trinity Health (Fresno, CA)
    …of coding experience in an acute care facility using ICD-10-CM and CPT coding and/or DRG assignment is required. 3. Knowledge and experience with medical ... responsible for training new staff on systems used for coding , as well as, being a resource for all...and analyzing all discharged and/or outpatient surgery records (ie, inpatient , emergency room, outpatient medical and outpatient surgery). 1.… more
    Trinity Health (06/02/24)
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