• Coding Quality Coordinator

    Kaleida Health (Buffalo, NY)
    **Coding Quality Coordinator ** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job Description ... **Summary:** The Coding Quality Coordinator (CQC) professionals ensures accurate coding and data collection...Ancillary depts to perform and review the coding and DRG assignment for accuracy. Serves as the liaison between… more
    Kaleida Health (04/17/25)
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  • Clinical Documentation Integrity (CDI)…

    Trinity Health (Livonia, MI)
    …the patient's severity of illness, risk of mortality, clinical validity and proper DRG assignment. ESSENTIAL FUNCTIONS Maintains current knowledge of the MS- DRG ... Must have thorough knowledge of CMS regulations, coding guidelines and DRG reimbursement. Demonstrated knowledge of state and federal Hospital Acquired Conditions… more
    Trinity Health (04/30/25)
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  • Health Claims Coordinator

    ManpowerGroup (Linthicum Heights, MD)
    Our client, is seeking a Health Claims Coordinator to join their team. As a Health Claims Coordinator , you will be part of the medical claims processing ... which will align successfully in the organization. **Job Title:** Health Claims Coordinator **Location:** Linthicum, MD **Pay Range:** $23.00 per hour **What's the… more
    ManpowerGroup (03/19/25)
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  • Provider Reimbursement Coordinator - Hybrid

    Centene Corporation (Queens, NY)
    …provider payment issues, monitors unclaimed property, and assists in fee schedule and DRG analysis with review of fluctuations. + Compile and analyze weekly claim ... runs to explain variances and fluctuations. + Assist in performing DRG analyses for appropriate payment determination. + Assist in creating financial impact analysis… more
    Centene Corporation (05/01/25)
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  • Utilization Management Coordinator

    Sanford Health (WI)
    …including complicating/comorbid diagnoses for accurate diagnosis-related group ( DRG ) assignment during hospitalization. Monitors patient hospitalization to ... denials. Inputs collected data into computer system for insurance communication, DRG grouping, data abstraction for monitoring and evaluation, and when applicable,… more
    Sanford Health (04/30/25)
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  • Coding Coordinator

    Corewell Health (Southfield, MI)
    …of government regulations, third party payor requirements and various reimbursement methodologies (MS- DRG , APR- DRG , APC, Rehab CMG, RVU). Coordination of staff's ... day to day operations, assists in trouble shooting issues, problem solving and resolution of customer service and/or billing issues. Identify problematic coding trends based on audit activity to provide ongoing training and education. Monitors goals &… more
    Corewell Health (04/25/25)
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  • Unit Clinical Care Coordinator RN Unit C3

    Bassett Healthcare (Cooperstown, NY)
    …best quality of life possible. What you'll do The Unit Clinical Care Coordinator RN Unit C3 acts a principle liaison between emergency services, surgical services, ... aligned according to patient's clinical progression Reviews LOS values and working DRG daily Proactively monitors patients in observation or outpatient status and… more
    Bassett Healthcare (04/30/25)
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  • Coordinator , Quality Medical Coding,…

    UCHealth (Denver, CO)
    Description Coordinator , Quality Medical Coding, Professional Billing Location: UCHealth Admin Lowry, US:CO: Denver Department: UCHlth Professional Coding FTE: Full ... data integrity by reviewing diagnosis and procedure code assignments, and validating MS- DRG , APC, or RVU designations. This is a remote position; eligible… more
    UCHealth (04/07/25)
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  • Unit Clinical Care Coordinator RN Unit C3

    Bassett Healthcare (Cooperstown, NY)
    …aligned according to patient's clinical progression. Reviews LOS values and working DRG daily. Proactively monitors patients in observation or outpatient status and ... progresses status accordingly. Works with Nurse on discharge needs/barriers for all patients; initiates intervention by UM Nurse as needed. Identifies need for patient to receive IM letter; collaborates with UM Nurse as needed. Assists Clinical Documentation… more
    Bassett Healthcare (04/25/25)
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  • Coordinator , Ambulatory Operational…

    Queen's Health System (Honolulu, HI)
    …and problem-solving skills. * Experience with healthcare data (ICD-9/10, CPT, DRG ) within a hospital, healthcare, payor or health care services organization ... preferred. * Ambulatory experience preferred. * Experience in change management, systems analysis, consulting, facilitation, data analysis, data visualizations, and/or team building preferred. * Prior healthcare and/or population health management experience… more
    Queen's Health System (04/16/25)
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  • Clinical Documentation Improvement (CDI)…

    Guidehouse (Escondido, CA)
    DRG " as documentation supports, or physician query answer supports a change in the DRG assignment. + Communicates to the CDI Coordinator when volume of daily ... assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial...assignments is too high or low so that CDI Coordinator can assist in adjusting review assignments amongst the… more
    Guidehouse (04/25/25)
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  • Clinical Documentation Coding Specialist III

    University of Utah Health (Salt Lake City, UT)
    …Sequence principal and secondary diagnoses codes and primary procedure code for accurate MS- DRG and APR- DRG assignment. + Assign Present on Admission (POA) ... its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil...including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative… more
    University of Utah Health (04/07/25)
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  • Medical Records Technician (Clinical Documentation…

    Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
    …on missed opportunities in provider documentation identified by the VERA coordinator and coordinate provider documentation education with the VERA coordinator ... possess knowledge of complication or comorbidity/major complication or comorbidity (CC/MCC), MS- DRG structure, and POA indicators. vii. Knowledge of severity of… more
    Veterans Affairs, Veterans Health Administration (04/24/25)
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  • Program Mgr, Surgical Fin/Inv - Surgery - Full…

    Guthrie (PA)
    …the oversight and functioning of GHS Surgical Financial Management Systems including DRG management and Surgical Capital and Inventory management systems. SFIS is ... and cycle counts as to their impact on the overall inventory; DRG management for GHS Surgical departments including the utilization of financial management… more
    Guthrie (04/10/25)
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  • GIS Fielding Inten

    The Davey Tree Expert Company (Springfield, MO)
    …**About Us** Asset Management is a division of Davey Resource Group Inc. ( DRG ) which has been employee-owned since 1979. Asset Management specializes in managing the ... in both indoor and outdoor environments with our field coordinator professionals to complete tasks related to resource planning,...Management is a division of Davey Resource Group, Inc. ( DRG ), a Davey company. Davey has been employee-owned since… more
    The Davey Tree Expert Company (03/15/25)
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  • Regulatory Compliance Manager

    University of Utah (Salt Lake City, UT)
    …Medicare Parts A and B), and ICD -10, CPT , HCPCS , DRG coding; proficient with word processing, spreadsheet and related computer applications; demonstrated human ... its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil...including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative… more
    University of Utah (03/19/25)
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  • Supervisor HIM Coding

    BayCare Health System (Tampa, FL)
    …and assisting in presenting information on issues such as case mix, DRG analysis, physician and nursing education and information collected from coding seminars. ... Supervisory Role in a related field + 4 Years in a HIM Coding Coordinator role is acceptable in lieu of Supervisor/Manager experience. **Why BayCare?** Our network… more
    BayCare Health System (03/23/25)
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