- Elevance Health (Indianapolis, IN)
- …issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement sent in by acute ... our Elevance Health PulsePoint locations. The **DIAGNOSTIC RELATED GROUP CODING AUDITOR** is responsible for auditing inpatient ...: + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting… more
- Trinity Health (Ann Arbor, MI)
- …, APR DRG assignments to potentially decrease denials. 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...documentation. Three (3) years of current acute care or Inpatient coding experience is required. Extensive, comprehensive… more
- R1 RCM (Boise, ID)
- …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 (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
- Nuvance Health (Danbury, CT)
- …Physiology, ICD10,CPT(R), Coding guidelines, and methodologies. * Expert knowledge of DRG , APC, NCCI, LCD, NCD reimbursement methodologies and expertise in the ... support the Company's Ethics and Compliance Program. *Other information:* * Certified Coding Specialist (AHIMA), or Certified Inpatient Coder (AAPC) * Minimum… more
- 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 (Livonia, MI)
- …the 72-hour rule and other account combine scenarios. 6. 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. Page...credentialing associations. 11. Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations… more
- TEKsystems (Atlanta, GA)
- …more of progressive on-the-job experience in an acute care hospital setting as an Inpatient coder. Level 1 Trauma Hospital Coding experience. Certified Coding ... * Various DRG methodologies (MS- DRG , APR- DRG , Tricare, etc.) * IP Rehabilitation IRF-PAI coding...APR- DRG , Tricare, etc.) * IP Rehabilitation IRF-PAI coding requirement * Clinical information related to areas of… more
- WMCHealth (Valhalla, NY)
- …6 years of experience where the primary function of the position must have been inpatient medical records coding , four of which must have been within the last ... Senior Inpatient Coder Company: NorthEast Provider Solutions Inc. City/State:...is responsible for addressing appeals to insurance companies and coding highly complex medical records, including all diagnoses and… more
- Glens Falls Hospital (Glens Falls, NY)
- …year of lead /supervisory experience o 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
- UNC Health Care (Chapel Hill, NC)
- …as needed to meet HCS DNB/BWIP goals. IP Supervisor participates in DRG reconciliation between coding and Clinical Documentation Integrity. **Other Information** ... This position supervises a staff of medical coders, either inpatient or outpatient, and related support positions across all...Lead or Senior Medical Coder level in medical coding . * If an Associate's degree: Seven (7) years… more
- Spaulding Rehabilitation (Charlestown, MA)
- …preferred. * Basic knowledge of coding /classification systems appropriate for inpatient CMG and DRG prospective payment systems. * Computer proficiency ... State, etc ), researching websites, publications, and reference materials. Collaborates with the Inpatient Coding Manager to understand and adhere to coding … more
- Elevance Health (Columbus, OH)
- …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the...Experience with third party DRG Coding and/or Clinical Validation Audits or… more
- Fairview Health Services (St. Paul, MN)
- …supervisory and/or management experience. + At least 3 years of inpatient coding or clinical documentation integrity (CDI) experience. ... lines, and other departments across the system. Assures maximum inpatient designated cases are reviewed and working diagnosis related...as a resource and helps to validate post claim DRG downgrade denials related to coding and… more
- Medical Mutual of Ohio (OH)
- …outpatient, inpatient and professional claims from a clinical and coding perspective applying coding guidelines and edits. Assesses for inappropriate ... outpatient, inpatient and professional claims from a clinical and coding perspective applying coding guidelines and edits. Assesses for inappropriate… more
- Marshfield Clinic (Marshfield, WI)
- …(United States of America) **Job Description:** **Clinical Documentation Specialist ( DRG focus) experience NEEDED TO APPLY** **_**Wisconsin residents only**_** **JOB ... a broad clinical knowledge base and advanced understanding of DRG documentation requirements who works in collaboration with the...collaboration with the Second Level Reviewer and CDI Team Lead as a part of the system CDI Leadership… more
- Spaulding Rehabilitation (Charlestown, MA)
- …requirements. + Basic knowledge of coding /classification systems appropriate for inpatient CMG, PDPM, and DRG prospective payment systems. + Computer ... the post-acute prospective payment and mandatory CMS assessment instruments: + Inpatient Rehabilitation Facility (IRF) - IRF Patient Assessment Instrument (IRF-PAI)… more
- Trinity Health (Dubuque, IA)
- …and compliant working diagnoses codes, establishing a working principle diagnosis and working DRG (MS or APR). Collaborates with coding staff to ensure ... **Shift:** Day Shift **Description:** **POSITION PURPOSE** Utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical… more
- Trinity Health (Columbus, OH)
- …of RHIA, RHIT, or CCS with extensive clinical knowledge and a minimum of 5 years inpatient coding experience will be considered in lieu of a RN..** **Licensure / ... Management, managed care, or Clinical Documentation and experience in** **ICD-10 coding conventions and DRG methodology preferred.** **Effective Communication… more
- Trinity Health (Ann Arbor, MI)
- …and compliant working diagnoses codes, establishing a working principal diagnosis and working DRG (MS or APR). Collaborates with coding staff to ensure ... Clinical Documentation. The Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical… more