- Stanford Health Care (Palo Alto, CA)
- …billing + Knowledge of charge capture workflows and CDM + Knowledge of DRG /APC reimbursement + Knowledge of health information systems for computer application to ... Licensure And/Or Compact State Licensure required . or + CCS - Certified Coding Specialist required . or + CPC and/or CCSP - Certified Professional Coder required .… more
- UPMC (Pittsburgh, PA)
- …on problems when necessary in coordination with the Coding Manager and/or Coding Specialist and assist in correcting deficiencies in DRG assignment. + Prepare ... third party payer and OIG regulations. Responsibilities: + Review and evaluate focused UPMC DRG medical records for accurate DRG assignment to ensure that all… more
- Insight Global (Dothan, AL)
- …client located in Dothan, AL. In this role, the Inpatient Coding Specialist will be responsible for accurately assigning diagnostic and procedural codes to ... Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements Certified Coding Specialist (CCS) High School Diploma Hospital Coding Experience Experience… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and abstracted data POA, Discharge Disposition. + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG . + Reviews ... leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor** to extract data from patient encounters ensuring the… more
- Insight Global (Plano, TX)
- …more years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN or BSN ... Job Description Insight Global is seeking experienced DRG Auditors to join a remote healthcare organization.... Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group… more
- Covenant Health Inc. (Knoxville, TN)
- …medical records, the accuracy of documentation, and the appropriate assignment of a final DRG . The CDI Specialist functions as a resource for clinical staff and ... Overview Clinical Documentation Integrity Specialist , Clinical Full Time, 80 Hours Per Pay...discharge planning of patients. In order to assure appropriate DRG assignment and the validity and reliability of the… more
- Covenant Health Inc. (Knoxville, TN)
- …medical records, the accuracy of documentation, and the appropriate assignment of a final DRG . The CDI Specialist functions as a resource for clinical staff and ... Overview Clinical Documentation Integrity Specialist Certified Clinical Full Time, 80 Hours Per...care and discharge planning of patients. To assure appropriate DRG assignment and the validity and reliability of the… more
- Covenant Health Inc. (Knoxville, TN)
- …medical record, the accuracy of documentation, and the appropriate assignment of a final DRG . The CDI Specialist functions as a resource for clinical staff and ... Overview Clinical Documentation Integrity Specialist Certified Full Time, 80 Hours Per Pay...care and discharge planning of patients. To assure appropriate DRG assignment and the validity and reliability of the… more
- Kaleida Health (Buffalo, NY)
- …systems such as, but not limited to, ICD- CM, AP- DRG , APR - DRG , MS- DRG required. Clinical Documentation Specialist duties and responsibilities ... **Senior Clinical Doc Specialist ** **Location:** Larkin Bldg @ Exchange Street **Location...accurate reflection of the patient condition in the associated DRG assignments, case-mix index, documentation/coded quality metrics, and reimbursement.… more
- UPMC (Pittsburgh, PA)
- …documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. + Incorporate ... secondary diagnoses as reviewed by the designated trainer and/or the DRG Specialist . Coder should meet appropriate coding productivity standards within the time… more
- UPMC (Pittsburgh, PA)
- …documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. a { ... sequenced in order of their clinical significance to accurately assign the appropriate DRG /APC/ASC or payment tier under the Prospective Payment system or DSM IV… more
- UPMC (Pittsburgh, PA)
- …documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. High School or ... sequenced in order of their clinical significance to accurately assign the appropriate DRG /APC/ASC or payment tier under the Prospective Payment system or DSM IV… more
- Hartford HealthCare (Farmington, CT)
- …and other common practices across the system. *_Position Summary:_* The Denial Specialist is responsible for reviewing, analyzing and appealing denials related to ... DRG (Diagnostic Related Group) downgrades. This role involves validating...follow-up actions and ensuring compliance with regulatory standards. The specialist also plays a critical role in preventing future… more
- Elevance Health (Chicago, IL)
- ** DRG Coding Auditor Principal** **_Virtual: _** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG Coding Auditor Principal** is responsible for auditing inpatient medical… more
- Elevance Health (Ashburn, VA)
- …medical-expense spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS- DRG , AP- DRG , APR- DRG ... reside within a commuting distance from an office.** The ** DRG Coding Auditor** is responsible for auditing inpatient medical...Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. +… more
- Elevance Health (Chicago, IL)
- **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work virtually ... conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:** + Analyzes and audits… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy ... in ICD-10-CM/PCS coding, DRG assignments, and supporting clinical documentation. This includes evaluating...RN, MD, PA, or DO preferred + CCS-Certified Coding Specialist required or + RHIT - Registered Health Information… more
- UTMB Health (Galveston, TX)
- Senior DRG Coder - RCO Coding **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health Requisition # 2506997 **EDUCATION & EXPERIENCE:** ... **Preferred Qualifications:** + Three (3) years of experience in DRG and/or PCS coding. + Experience with communicating, training,...**One of the following:** + CCS - Certified Coding Specialist (AHIMA) _or_ + RHIA - Registered Health Information… more
- University of Utah Health (Salt Lake City, UT)
- …position audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate reimbursement and ... audits the accuracy and completeness of diagnoses, procedure coding, abstracted data and DRG assignment. + Reviews non-CC/MCC records to determine if the record was… more
- Penn Medicine (Philadelphia, PA)
- …charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician ... our future each day. Are you living your life's work? **HIM Inpatient Coding Specialist II** **Job Summary:** + Performs all coding and abstracting for Penn Medicine… more
