- UPMC (Pittsburgh, PA)
- UPMC Corporate Revenue Cycle is hiring a DRG Specialist II to join our coding team! This opportunity works Monday through Friday during daylight hours. The ... position will be fully remote! In this role, the DRG Specialist II will review clinical documentation within the medical record to ensure that all patient… more
- 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 ... that were performed during an episode of care. + Review and evaluate focused UPMC DRG medical records for accurate DRG assignment to ensure that all documented… 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 ... in order of their clinical significance to accurately assign the appropriate DRG to guarantee accurate reimbursement on UPMC patients. + Identify incomplete… more
- Elevance Health (Denver, CO)
- **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work virtually ... 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** is responsible for auditing inpatient… more
- Elevance Health (Chicago, IL)
- ** 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
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy ... in ICD-10-CM/PCS coding, DRG assignments, and supporting clinical documentation. This includes evaluating...RN, MD, PA, or DO preferred + CCS-Certified Coding Specialist required or + RHIT - Registered Health Information… 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 ... Are you living your life's work? HIM Inpatient Coding Specialist II 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
- 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
- Insight Global (Dothan, AL)
- …client located in Dothan, AL. In this role, the Inpatient Coding Specialist will be responsible for accurately assigning diagnostic and procedural codes to ... Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements Certified Coding Specialist (CCS) High School Diploma Hospital Coding Experience Experience… 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
- 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
- Houston Methodist (LA)
- 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
- 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
- NCH (Naples, FL)
- …as a liaison between the Coding Department and the Clinical Documentation Integrity Specialist to reconcile discrepancies in code and/or DRG assignment * ... more. JOB SUMMARY The Quality Improvement Clinical Documentation Integrity Specialist (QI-CDIS) responsibilities include comprehensive secondary clinical chart reviews… 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
- Fairview Health Services (St. Paul, MN)
- **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the ... to billing, coding, and documentation. The Inpatient Coding Denials Specialist will also handle audit-related and compliance responsibilities. Additionally, this… more