- 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
- University of Miami (Hialeah, FL)
- …secondary diagnoses, and/or procedures based on clinical data to facilitate appropriate DRG assignment. + Records review findings and other data elements ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Clinical Documentation… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to educate physicians, nursing, and other clinical staff to improve documentation. + Review ?s DRG Reassignment letters and assists in formulating Appeal letters ... leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor** to extract data from patient encounters ensuring the… more
- Emory Healthcare/Emory University (Atlanta, GA)
- **Description** **JOB DESCRIPTION:** The Lead Clinical Documentation Integrity (CDI) DRG Auditor works under the direction of the Associate Director of CDI Quality ... and Education. He/she performs all the requirements of the Lead CDI DRG Auditor. In addition, this position is responsible for identifying areas of documentation… more
- HonorHealth (Phoenix, AZ)
- …Job Summary The DRG Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and ... DRG are supported by clinical documentation and all diagnoses...data retrieval, billing, and reimbursement. Perform documentation assessment and review for accurate abstracting of clinical data to meet… more
- UTMB Health (Galveston, TX)
- …for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of ... DRG Coder - Revenue Cycle Coding (Remote) **Galveston, Texas, United States** **Hot** Business, Managerial & Finance UTMB Health Requisition # 2401752 **MINIMUM… 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
- Catholic Health Initiatives (Omaha, NE)
- **Overview** Utilization Review RN is responsible for the review of medical records for appropriate admission status and continued hospitalization. Works in ... collaboration with the attending physician, consultants, second level physician reviewer and the Care Coordination staff utilizing evidence-based guidelines and… 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
- Hartford HealthCare (Farmington, CT)
- …alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS- DRG ). Data is classified for internal and external statistical reporting, ... and/or encoder, coding manuals and other reference material. 3. Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes… more
- Hartford HealthCare (Newington, CT)
- …alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS- DRG ). Data is classified for internal and external statistical reporting, ... and/or encoder, coding manuals and other reference material. 3. Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes… more
- Kaleida Health (Buffalo, NY)
- …Patient Financial Services, Corporate Compliance, Clinics, and Ancillary depts to perform and review the coding and DRG assignment for accuracy. Serves as the ... liaison between coding specialists and clinical documentation specialists for DRG Mismatch and reconciliation of case variation. Ensures all inpatient and outpatient… more
- RWJBarnabas Health (Oceanport, NJ)
- …is responsible for ensuring accuracy and integrity of ICD-10-CM/PCS coding and DRG assignment for inpatient Medicare encounters. This requires critical thinking and ... and integrity of ICD-10-CM/PCS, CPT coding when applicable and DRG assignment for adherence to Federal and State Regulations...a team with other Quality Officers to ensure SMART review goals are met for all RWJBarnabas facilities. +… more
- Hackensack Meridian Health (Brick, 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)
- …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
- Essentia Health (Fargo, ND)
- …documentation and assigning ICD-10-CM diagnosis, PCS procedure codes, and the DRG to ensure proper reimbursement for complex inpatient accounts. Requires extensive ... knowledge and understanding of ICD-10-CM/PCS coding guidelines, MS- DRG and APR- DRG reimbursement systems, medical terminology, and disease processes. Works… more
- Marshfield Clinic (Minocqua, WI)
- …Uniform Hospital Discharge Data Set (UHDDS) and assignment of the appropriate MS- DRG (Medicare Severity-Diagnosis Related Group) or APR- DRG (All Patients Refined ... co-morbidities and complications, secondary conditions, surgical procedures and/or other procedures. + MS- DRG /APR- DRG + Present on admission indicators + HAC… more
- Houston Methodist (Houston, TX)
- …of clinical documentation. This position analyzes medical records for DRG 's, complications, and comorbidities; identifies trends; and notes observations and ... and follows up as necessary. Tracks responses and trends completion of DRG /Documentation worksheets as pertinent to scope of department. + Conducts follow-up reviews… more
- Hackensack Meridian Health (Perth Amboy, NJ)
- …Conditions, Severe Maternal Morbidity, etc.) and clinical evidence to support DRG , principal diagnosis, and secondary diagnoses assignments. Other duties this ... a discrepancy in the Clinical Documentation Specialist and Coder DRG and coaching of the CDMP Team on PSI,... and coaching of the CDMP Team on PSI, review and screen inpatient admissions and observations as specified… more
- Guidehouse (Austin, TX)
- …in Austin, Texas and three days working remotely.** + Conducts daily, concurrent review of inpatient records on assigned unit(s) to ensure complete and accurate ... assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial...Communicates to the CDI Coordinator when volume of daily review assignments is too high or low so that… more