- The Mount Sinai Health System (New York, NY)
- The purpose of DRG validation is to confirm that diagnostic, procedural information, and the discharge status of the beneficiary, as coded and reported by the ... 10th Revision (ICD-10-CM and ICD-10-PCS) codes and the Diagnosis Related Groups ( DRG ). The CRM reviews the physician documentation for specificity, completeness and… more
- Trinity Health (Livonia, MI)
- …Must have thorough knowledge of CMS regulations, coding guidelines and DRG reimbursement . Project management and/or system implementation experience required. ... record and supports the patient's severity of illness, risk of mortality, clinical validity and proper DRG assignment. **ESSENTIAL FUNCTIONS** Knows,… more
- Sutter Health (San Francisco, CA)
- …the patient populations served. Subject matter expertise regarding quality and reimbursement implications of clinical documentation and coding. Provides ... physician CCS-Certified Coding Specialist within 1 year CCD or CDIP- Clinical Documentation Improvement Certification **TYPICAL EXPERIENCE:** 5 years recent relevant… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …opportunities. + Educate healthcare professionals on the significance of accurate clinical documentation for quality reporting, reimbursement , public health ... Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of… more
- Abbott (Flagstaff, AZ)
- …high employer contribution + Tuition reimbursement , the Freedom 2 Save ... \#1 (https://abbotthr.zendesk.com/agent/tickets/1) Spinal cord stimulator on the market, Proclaim (TM) DRG Neurostimulator, the only FDA approved DRG therapy and… more
- Guthrie (Binghamton, NY)
- …CDMP guidelines. 2. Demonstrates knowledge of CDMP guidelines and program, DRG payor issues, documentation opportunities, clinical documentation requirements, ... Summary: Responsible for improving the overall quality and completeness of clinical documentation Facilitates modifications to clinical documentation through… more
- UNC Health Care (Chapel Hill, NC)
- …we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that are owned or ... across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to...hiring and selection of new CDS with the hiring manager as requested. 6. Analyzes and audits medical records… more
- Hartford HealthCare (Newington, CT)
- …Collaborates with clinical documentation specialists (CDS) to determine appropriate DRG assignment for compliance and reimbursement purposes. 2. Collaborates ... other common practices across the system. *_Position Summary:_* Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric… more
- AdventHealth (Glendale Heights, IL)
- …continuum, intervening to remove barriers to timely and efficient care delivery and reimbursement . The Social Work Care Manager provides education to nurses, ... Glendale Heights, IL **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance… more
- Tidelands Health (Murrells Inlet, SC)
- …integrated system of inpatient records. + Knowledge of MS- DRG and APR DRG classification and reimbursement structures + Understanding of appropriate level of ... the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. Queries physicians as needed, to clarify… more
- Highmark Health (Jefferson City, MO)
- …techniques, medical terminology and disease processes as it relates to the DRG /APC and other clinical data quality management factors. With technical ... II code and modifier assignments, ICD diagnosis and procedure coding, DRG /APC structure according to regulatory requirements. Reports findings both verbally and… more
- Abbott (Portland, OR)
- …high employer contribution + Tuition reimbursement , the Freedom 2 Save ... \#1 (https://abbotthr.zendesk.com/agent/tickets/1) Spinal cord stimulator on the market, Proclaim (TM) DRG Neurostimulator, the only FDA approved DRG therapy and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …healthcare environment is required + 7-10+ years directly work in payment reimbursement policy, payment integrity and/or clinical editing + Proficient with ... Professional and Institutional billing guidelines + Strong understanding of healthcare reimbursement methodologies, including PFS-RVU, AP- DRG , APC + Experience… more
- WMCHealth (Poughkeepsie, NY)
- Regional Manager , HIM Company: NorthEast Provider Solutions Inc. City/State: Poughkeepsie, NY Category: Executive/Management Department: Health Info Mgmt-WMC Health ... large hospital network and the functions of its various divisions. Regional Manager of Health Information Management has responsibility for assisting the Network HIM… more
- AdventHealth (Shawnee, KS)
- …continuum, intervening to remove barriers to timely and efficient care delivery and reimbursement . The Social Work Care Manager provides education to nurses, ... **Inpatient Social Worker Case Manager Weekend Worker Program Days - AdventHealth Shawnee...efficient and cost-effective care through appropriate resources monitoring and clinical care escalations. The Social Worker is under the… more
- Amgen (Cincinnati, OH)
- …+ Knowledge of hospital committee structure, P&T process, treatment and discharge protocols, DRG and hospital reimbursement process for all assigned accounts and ... a career you can be proud of. **Key Account Manager - Cardiovascular** **Live** **What you will do** The...CV product messaging for approved CV products and delivers clinical messages compliantly within all governing policies + Accountable… more
- AdventHealth (Shawnee, KS)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the ... continuum, intervening to remove barriers to timely and efficient care delivery and reimbursement . The RN Care Manager provides education to nurses, physicians… more
- AdventHealth (Hinsdale, IL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the ... remove barriers to timely and efficient care delivery and reimbursement . The RN Care Manager provides education...goals and preferences to the multidisciplinary team. . Incorporate clinical , social and financial factors into the transition of… more
- Penn Medicine (Philadelphia, PA)
- …analysis of the DRG assigned to produce the highest level of reimbursement to which the facility is legally entitled according to stringent coding and compliance ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- AdventHealth (Ocala, FL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the ... continuum, intervening to remove barriers to timely and efficient care delivery and reimbursement . The RN Care Manager provides education to nurses, physicians… more