- Elevance Health (Hanover, MD)
- ** Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work ... supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make… more
- Elevance Health (Roanoke, VA)
- …responsible for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis - Related Group ( DRG ) assignments. This role plays a ... **Manager DRG Coding Validation (Manager Program and Project Management)**...eliminate and prevent unnecessary medical-expense spending. The Manager of DRG Coding Audit & Clinical Validation leads a high-performing… more
- Veterans Affairs, Veterans Health Administration (Shreveport, LA)
- …complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnosis Related Group ( DRG ). Upon patient ... hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Responsibilities Duties… more
- Marshfield Clinic (Marshfield, WI)
- …Discharge Data Set (UHDDS) and assignment of the appropriate MS- DRG (Medicare Severity- Diagnosis Related Group ) or APR- DRG (All Patients Refined ... to DRG validation requests and other third party payer inquiries related to coding and DRG assignments as requested **JOB QUALIFICATIONS** **EDUCATION**… more
- University of Michigan (Ann Arbor, MI)
- …and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group , (MS- DRG ) / All Patient Refined - ... Diagnosis Related Group , (APR- DRG ) based on payor classification and abstracts specific data elements for each case in compliance with federal… more
- Veterans Affairs, Veterans Health Administration (IN)
- …complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnosis Related Group ( DRG ). Upon patient ... hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding… more
- University of Washington (Olympia, WA)
- …"patients are first" service culture. + Performs daily activities related to of abstract Diagnosis Related Group ( DRG ) coding and billing + Analyzes ... 3M computer assisted coding (CAC) to compute the final DRG assignment to diagnoses and procedures in an integrated...codes to each record to assure proper Case Mix Group (CMG) assignment and appropriate reimbursement to the facility… more
- Centene Corporation (New York, NY)
- …Purpose:** Responsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group ( DRG ) and Medical Record ... **Education/Experience:** Associate's degree in Nursing or equivalent experience. 4+ years of DRG and/or Medical Record Audit experience. One year of experience in a… more
- Southeast Health (Dothan, AL)
- …experience in hospital coding, including Medicare inpatients with demonstrated knowledge of diagnosis - related group ( DRG ) regulations, as evidenced ... a score of at least 90% on a coding test or six months of DRG coding with proven accuracy. LANGUAGE/ COMMUNICATION SKILLS: + Excellent oral and written communication… more
- Henry Ford Health System (Farmington Hills, MI)
- …Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis - Related Group ( DRG ) assignments. + Obtains ... Health Info Tech preferred. Additional Information + Organization: Henry Ford Ascension Medical Group MI + Department: Birmingham Ortho Sports Med + Shift: Day Job +… more
- Trinity Health (Livonia, MI)
- …of a large healthcare acute and professional billing organization. + Strong knowledge of Diagnosis Related Group ( DRG ), Ambulatory Payment Classification ... services. + Demonstrated ability to work effectively with a diverse group of people including physicians, clinicians, office managers, administrators, third party… more
- Sanford Health (Fargo, ND)
- …to coders when additional information or documentation is needed to assign the correct diagnosis related group ( DRG ). Responsible for the day-to-day ... and hospital outcomes, provides or coordinates education to all internal customers related to compliance, coding, and clinical documentation issues and acts as a… more
- Banner Health (AR)
- …documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS- DRG ),All Payer Group (APR- DRG ) and Ambulatory Payment ... quality in the Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from you. **Requirements:** + **5… more
- Ascension Health (Mesa, AZ)
- …record documentation. + Complete admission reviews and assigns a working Diagnosis Related Group . Ensures the working DRG and other information are ... healthcare professionals since 1848. Operating 17 hospital campuses and over 100 related healthcare facilities from Racine to Appleton, you will find opportunities… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …and coding of the principal diagnosis will determine the proper Diagnostic Related Group ( DRG ) for database and reimbursement. Assists physician, ... ICD-910 CM/PCS coding conventions and guidelines for optimal Diagnostic Related Group ( DRG ) assignment. Codes...and sequence codes into encoder software to obtain correct diagnosis - related DRG , support medical necessity,… more
- Hartford HealthCare (Farmington, CT)
- …appropriate assignment of alpha numeric diagnosis /procedure codes and Medicare Severity Diagnosis Related Groups (MS- DRG ). Data is classified for ... the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our… more
- Houston Methodist (Houston, TX)
- …position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or inpatient encounters based upon documentation ... Takes initiative to assist others and shares knowledge with the coding group and business partners on official coding guidelines. **SERVICE ESSENTIAL FUNCTIONS** +… more
- Penn Medicine (Lititz, PA)
- …inpatient records, based upon the practitioner clinical documentation. Determines appropriate MS-Diagnostic Related Group DRG based upon diagnoses and ... care analysis and provider profiling. Review coded medical records for coding and DRG accuracy by verifying that the principal diagnosis , secondary diagnoses,… more
- Covenant Health Inc. (Knoxville, TN)
- …services (http://www.covenanthealth.com/services/) , and Covenant Medical Group (http://www.covenantmedicalgroup.org/) , our area's fastest-growing physician ... of documentation, and the appropriate assignment of a final DRG . The CDI Specialist functions as a resource for...the patient's condition, and the resources used in the diagnosis and treatment of the patient. The validation of… more
- Dignity Health (Rancho Cordova, CA)
- …needed. + Review provider documentation to determine the principal diagnosis co-morbidities and complications secondary conditions and surgical procedures following ... process when coding as needed + Utilize technical coding principals and MS- DRG reimbursement expertise to assign appropriate ICD-10- CM diagnoses and ICD- IO-PCS… more