- Vanderbilt University Medical Center (Nashville, TN)
- …monitoring third-party payor audits and ensures accurate and optimum payor reimbursement. . The Lead Inpatient Coding Consultant / Educator will educate the ... an ongoing training plan related to clinical documentation and coding improvement. Develops and delivers educational programs and presentations....following staff: + Inpatient Coders + Clinical Documentation Specialist (CDS) + Auditors… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …retrospective (post-discharge, pre-bill) once final coding has been completed. The Lead CDI DRG Auditor will: + Perform pre-bill reviews from opportunities ... **Description** **JOB DESCRIPTION:** The Lead Clinical Documentation Integrity (CDI) DRG ...relevant stakeholders. + Work closely with multidisciplinary teams including Coding DRG Auditors and second level physician… more
- HSS (New York, NY)
- …for optimal reimbursement by the organization, while also ensuring compliant and accurate inpatient coding . PRIMARY RESPONSIBILITIES + Monitors coding and ... across the enterprise. DRG Reviewer Full-Time The DRG Reviewer reports to the Director of Coding...A minimum of 5 years of experience in hospital inpatient , or integrated healthcare delivery system coding … more
- R1 RCM (Boise, ID)
- … coding and DRG reimbursement experience, with recent acute inpatient coding experience Nice to have: + Additional Clinical Documentation Improvement ... 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 (Salt Lake City, UT)
- …- 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)
- Corporate Coding Education Trainer - Inpatient Location: Danbury, CT, United States Requisition ID: 12104 Salary Range: 31.25 - 58.05 HOURLY Work Shift: Monday ... Physiology, ICD10,CPT(R), Coding guidelines, and methodologies. + Expert knowledge of DRG , APC, NCCI, LCD, NCD reimbursement methodologies and expertise in the … 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
- Scottish Rite for Children (Dallas, TX)
- …priority! We're committed to giving children back their childhood! Job Posting Title: Coding Lead / CDI Specialist Location: Dallas - Hospital Additional Posting ... documentation of diagnoses and procedures for accurate assignment of DRG /APR- DRG , that have an impact on severity...in an acute care hospital and clinic setting + Inpatient Coding preferred. + Demonstrates ability to… more
- UPMC (Harrisburg, PA)
- This CDI Coding Lead is a hybrid opportunity that oversees CDI operations for UPMC Harrisburg and UPMC Community Osteopathic. The selected candidate would have ... CDI optimization for inpatients concurrently, as well as post coding DRG optimization, including the coordination of...enhance the coding knowledge base of all inpatient coding . + When necessary, complete CDI… more
- Glens Falls Hospital (Glens Falls, NY)
- …3-5 year of lead /supervisory experience 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
- Trinity Health (Albany, NY)
- …Improvement Specialists (CDIS) regarding documentation issues or needs related to Inpatient coding . + Collaborates with Regional Shared Services (HIM ... in the assignment of ICD-9-CM, ICD-9-PCS, CPT-4(R), HCPCS codes, MS- DRG , POA, SOI & ROM assignments, APC assignment and...required.** Two (2) years of current Complex Outpatient or Inpatient coding experience is required. Three (3)… more
- Trinity Health (Farmington Hills, MI)
- …outpatient coding experience or minimum of two (2) years of relevant hospital inpatient coding experience including DRG assignment. Must be a Registered ... codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims, or other coding reasons and...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… 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
- Trinity Health (Columbus, OH)
- … Specialist III assigns codes to medical diagnoses and procedures using appropriate coding classifications for assigned inpatient record types. **What you will ... determine all appropriate diagnostic and procedural code assignments. Validates appropriate DRG assignments. + Assigns and sequences diagnostic and procedural codes… 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 ... Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS) Certified… more
- Trinity Health (Mason City, 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
- Amgen (Cincinnati, OH)
- …points and levels within complex partner organizations. + Key account strategic lead ; Develops and executes innovative strategies to reach difficult to access health ... utilization of approved CV products; works with other sales colleagues to lead and coordinate pull-through and access + Monitors Amgen business performance across… more
- Universal Health Services (Richmond, VA)
- …Analyze medical records to confirm medical necessity as it pertains to inpatient level of care, readmissions, patient length of stay, non-covered services, ... experimental and investigational issues, ER Downgrades, DRG validation and other claim denials. + Draft detailed...reimbursement for denied claims. + Make decisions to downgrade inpatient claims to observation status and perform calculation of… more