- Stanford Health Care (Palo Alto, CA)
- …Coding System) and CPT (Current Procedural Terminology) codes; evaluates the appropriateness of DRG ( Diagnosis - related Group ) and admission assignments; ... practices lead to appropriate execution of regulatory requirements and guidelines related to facility coding including federal and state regulations and guidelines,… more
- Elevance Health (Atlanta, GA)
- ** Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work ... (local time) The ** Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP-...and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG… more
- Molina Healthcare (Caldwell, ID)
- …Summary The RN Lead, DRG Coding/Validation provides lead level support developing diagnosis - related group ( DRG ) validation tools and process ... Monday- Friday 8:00am - 5:00pm Remote position Essential Job Duties * Develops diagnosis - related group ( DRG ) validation tools to build workflow processes… more
- Marshfield Clinic (Marshfield, WI)
- …Discharge Data Set (UHDDS) and assignment of the appropriate MS- DRG (Medicare Severity- Diagnosis Related Group ) or APR- DRG (All Patients Refined ... to DRG validation requests and other third party payer inquiries related to coding and DRG assignments as requested **JOB QUALIFICATIONS** **EDUCATION**… more
- Veterans Affairs, Veterans Health Administration (North Chicago, IL)
- …complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnosis Related Group ( DRG ). Conducts re-reviews ... coding practices, guidelines and conventions when choosing the most appropriate diagnosis , operation, procedure, ancillary, or Evaluation and Management code to… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnosis Related Group ( DRG ). Upon patient ... coding practices, guidelines and conventions when choosing the most appropriate diagnosis , operation, procedure, ancillary, or evaluation and management (E/M) code… more
- Mount Sinai Health System (New York, NY)
- … classification is received for the level of service rendered to all patients with a Diagnosis - Related Group ( DRG ) payor. 3. Analyzes clinical status of ... reconciliation of all cases, to include accurate recording of DRG or SOI impact based on physician query, as...assign coded data and clinical validation. 12. Performs other related duties. **About Us** **Strength through Unity and Inclusion**… more
- Veterans Affairs, Veterans Health Administration (Hampton, VA)
- …complication or comorbidity (CC/MCC), and POA indicators to obtain correct Medicare Severity Diagnosis Related Group (MS- DRG ). Medical Records Technician ... comorbid/major comorbid conditions, surgery, and procedures for accurate assignment of diagnosis related groups ( DRG ), and/or assigning CPT/HCPCS… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnosis Related Group ( DRG ). Upon patient ... hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding… more
- University of Washington (Olympia, WA)
- …"patients are first" service culture. + Performs daily activities related to of abstract Diagnosis Related Group ( DRG ) coding and billing + Analyzes ... 3M computer assisted coding (CAC) to compute the final DRG assignment to diagnoses and procedures in an integrated...codes to each record to assure proper Case Mix Group (CMG) assignment and appropriate reimbursement to the facility… more
- Centene Corporation (New York, NY)
- …Purpose:** Responsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group ( DRG ) and Medical Record ... **Education/Experience:** Associate's degree in Nursing or equivalent experience. 4+ years of DRG and/or Medical Record Audit experience. One year of experience in a… more
- Southeast Health (Dothan, AL)
- …experience in hospital coding, including Medicare inpatients with demonstrated knowledge of diagnosis - related group ( DRG ) regulations, as evidenced ... a score of at least 90% on a coding test or six months of DRG coding with proven accuracy. LANGUAGE/ COMMUNICATION SKILLS: + Excellent oral and written communication… more
- Hartford HealthCare (Farmington, CT)
- …for query impact. . Collaborates with coding leadership to determine appropriate Medicare Severity- Diagnosis Related Group (MS- DRG , APR-DRGs, etc.) ... Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so...on quality, mortality and harm, and other HHC initiatives related to CDI. . Presents education on topics … more
- Immigration and Customs Enforcement (Washington, DC)
- …and Related Health Problems, 10th revision (ICD-10), current procedural terminology (CPT), diagnosis - related group ( DRG ), and other Centers for ... Management Program Analyst; handles and assists program activities and policies related to claims management, and provider recruitment. Assumes leadership role as… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …industry. Knowledge of Current Procedural Terminology ( CPT ) and Diagnosis Related Group ( DRG ) coding. Knowledge of medical, billing and coding ... Committee, and UT System as needed. + Develops and maintains risk compliance- related education and training materials and conducts training sessions. + Monitor… more
- Banner Health (Tucson, AZ)
- …technician position preferred. Knowledge of governmental reimbursement rules and regulations preferred. Diagnosis Related Group ( DRG ) and Fee-For-Service ... Medicaid pharmacy rules and regulations preferred. Bi-lingual preferred. Additional related education and/or experience preferred. **EEO Statement:** EEO/Disabled/Veterans (https://www.bannerhealth.com/careers/eeo)… more
- Sanford Health (Fargo, ND)
- …to coders when additional information or documentation is needed to assign the correct diagnosis related group ( DRG ). Responsible for the day-to-day ... and hospital outcomes, provides or coordinates education to all internal customers related to compliance, coding, and clinical documentation issues and acts as a… more
- Southeast Health (Dothan, AL)
- …Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), ICD-10-CM, Modifiers, and Diagnosis Related Group ( DRG ) codes based on ... for educational requirements as evidenced by reading all assigned coding related references, and attending all required coding educational meetings, or webinars,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical ... and/or inpatient coding and has a high level of understanding of the current MS- DRG , and APR- DRG payment systems. This position is responsible for reviewing… more
- Ascension Health (Muskego, WI)
- …record documentation. + Complete admission reviews and assigns a working Diagnosis Related Group . Ensures the working DRG and other information are ... healthcare professionals since 1848. Operating 17 hospital campuses and over 100 related healthcare facilities from Racine to Appleton, you will find opportunities… more
