- HSS (New York, NY)
- …committed to our Mission, you too can be part of our transformation across the enterprise. DRG Reviewer Full-Time The DRG Reviewer reports to the ... Director of Coding, HIM (Health Information Management). The DRG Reviewer oversees DRG accuracy....+ Monitors coding and documentation accuracy. + Conducts retrospective review of the medical record to increase accuracy, clarity,… more
- The Mount Sinai Health System (New York, NY)
- Maintains responsibility for coding/ DRG validation review , DRG PRO activities and assurance of optimal reimbursement. Oversees compliance with coding ... standards and regulations **Strength Through Diversity** The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Health Information Management (HIM) education. + Minimum of 5 years progressive coding review in ICD-10-CM and DRG methodologies. + Knowledge of POA/HAC, PSI ... serve as a leader of positive change. The **Diagnosis Related Group ( DRG ) Auditor** is responsible for auditing clinical documentation that supports code assignment… more
- Hackensack Meridian Health (Hackensack, NJ)
- …admissions and observations as specified by the facility's Utilization Management/ Review Committee for documentation completeness and compliance with patient status. ... in medical screening process by documenting appropriateness of patient admission, working DRG & LOS information on worksheet and computer system as appropriate. +… more
- Hackensack Meridian Health (Hackensack, NJ)
- …admissions and observations as specified by the facility's Utilization Management/ Review Committee for documentation completeness and compliance with patient status. ... the medical screening process by documenting appropriateness of patient admission, working DRG & LOS information on worksheet and computer system as appropriate. +… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Hackensack Meridian Health includes: + Reviews Diagnosis Related Group ( DRG ) assignment for selected Medicare/Medicaid inpatients, Hospital-acquired condition (HAC), ... + Provides guidance on any changes made during their review to the Inpatient Coders by furnishing input as...and rationale (if needed) in 3M as needed for DRG mismatches on Clinical Documentation Improvement (CDI) reviewed cases.… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and ICD-10-Procedure Coding System (PCS) codes creating diagnosis-related group ( DRG ) assignments. Abstracts pertinent information from patient records. + Sequence ... the diagnosis and procedures using coding guidelines and optimizing the DRG as applicable. + Addressing all edits, including but not limited to nosology, Exihauser,… more
- Atlantic Health System (Morristown, NJ)
- …4. Post Physican queries thru the Iodine Interact platform 5. Maintains 95% accuracy in DRG and overall quality. 6. Works with our CDI nurses to ensure accurate code ... anatomy/physiology, disease processes. 5. Proficiency in ICD-10 coding and DRG methodology Preferred: 1. Prior EPIC and 3M360 CAC...100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Morbidity, etc.) and clinical evidence to support Diagnosis-related group ( DRG ), principal diagnosis, and secondary diagnoses assignments. Enables accurate ... a discrepancy in the Clinical Documentation Specialist and Coder DRG and coaching of the CDMP Team on PSI....development and evaluation of staff competencies. + RAC - Review and distribute letters to appropriate departments, ie **Qualifications**… more
- St. Joseph's Health (Paterson, NJ)
- …Job Overview: Responisble for accurate tracking of Diagnostic Related Group ( DRG ) denials to ensure appropriate reimbusement for services rendered. Works closely ... with Revenue Cycle Leadership and Physicians to review findings and determine appeal status. Assists with medical record merging for patient care and proper billing.… more
- Hackensack Meridian Health (Hackensack, NJ)
- …& aligned with established Desktop & policies & procedures. + Performs analytical review of denials to support Revenue Operations, Case Management, Access, and other ... Managed Care, the payer, or DTS. Monitors payments denials and initiates CPT or DRG analysis to determine reasons for denial. + Monitors daily dashboard and reports… more
- The Mount Sinai Health System (New York, NY)
- …Healing made personal. **_Roles & Responsibilities:_** + Responsible for the review and coding of complex inpatient and/or ambulatory surgery records utilizing ... preferred. Experience: Proficiency in the use of automated coding and DRG /AOC grouping software. **_Strength Through Diversity_** The Mount Sinai Health System… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …and identifying any deficiencies. + Prepare summaries for management of quality review results, including basic analysis of identified trends. + Analyzes audit ... for workflow enhancements. + Evaluates Prospective Payment System (PPS) (eg APC, DRG , etc.) grouping and pricing information. + Meets individual and departmental… more