- Hackensack Meridian Health (Hackensack, NJ)
- …our mission to transform healthcare and serve as a leader of positive change. The ** Diagnosis Related Group ( DRG ) Auditor** is responsible for auditing ... weekends are as needed.** **Responsibilities** A day in the life of a ** Diagnosis Related Group ( DRG ) Auditor** at **Hackensack Meridian** **_Health_**… more
- Elevance Health (Columbus, OH)
- …documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you ... ** Diagnosis Related Group Clinical...** Diagnosis Related Group Clinical Validation Auditor** **Location:**...minimum of 5 years of experience working with ICD-9/10CM, MS- DRG , AP- DRG and APR- DRG ; or… more
- SSM Health (MO)
- …to discharge, ensuring an accurate reflection of the patient condition in the associated Diagnosis Related Group ( DRG ) assignments, case-mix index, ... the principal diagnosis , pertinent secondary diagnoses, and procedures for accurate diagnosis review group ( DRG ) assignment, risk of mortality (ROM),… 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
- Marshfield Clinic (Ladysmith, 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
- Spaulding Rehabilitation (Charlestown, MA)
- … diagnosis , comorbidities and complications care mix group (CMG IRF) and diagnosis - related group ( DRG LTCH) b. documents review details for ... ongoing basis. Assists with IRF CMS 60% management, concurrent CMG or DRG assignment, ICD 10 documentation accuracy, and ongoing documentation improvement. **Key… more
- Hackensack Meridian Health (Hackensack, NJ)
- …(ICD)-10-CM Clinical Modification (CM) and ICD-10-Procedure Coding System (PCS) codes creating diagnosis - related group ( DRG ) assignments. Abstracts ... of positive change. The **Inpatient Coder** assigns the principal diagnosis , comorbidities, complications and chronic conditions for Hackensack Meridian Health… more
- Veterans Affairs, Veterans Health Administration (Muskogee, OK)
- …complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnosis Related Group ( DRG ). Conducts re-reviews ... hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Responsibilities Duties… more
- Robert Half Accountemps (Hartford, CT)
- …ICD-10-Procedural Classification System (PCS) operative procedure codes using designated software * Review Diagnosis - related group ( DRG ) assigned to each ... record, analyze DRG groupings, and observe for appropriate DRG assignment * Handle more complex cases including but not limited to, medical, surgical, behavioral… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Hospital Acquired Conditions, Severe Maternal Morbidity, etc.) and clinical evidence to support Diagnosis - related group ( DRG ), principal diagnosis , ... a discrepancy in the Clinical Documentation Specialist and Coder DRG and coaching of the CDMP Team on PSI....chart. + Develops education for appropriate sequencing of Principal diagnosis and the impact on severity of illness and… more
- University of Washington (Seattle, WA)
- …"patients are first" service culture. + Performs daily activities related to of abstract Diagnosis Related Group ( DRG ) coding and billing + Analyzes ... retention, and destruction. + ERHI provides advice and resources related to the lifecycle management of all UW Medicine...3M computer assisted coding (CAC) to compute the final DRG assignment to diagnoses and procedures in an integrated… more
- R1 RCM (Boise, ID)
- …Description Master (CDM), Texas Medicaid (TMHP), Transfer DRG Program, and Diagnosis Related Group ( DRG ) Validation. **Required** **Qualifications:** ... reimbursement analysis to include department level reconciliation. + Share trends related to billing and appeals from a clinical perspective, provide transformation… 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
- Access Dubuque (Dubuque, IA)
- …compliance efforts designed to ensure the accuracy of diagnosis and procedural coding, Diagnosis Related Group ( DRG ) assignment, severity of illness ... Partner with other hospital departments in support of quality initiatives related to Clinical Documentation Improvement (eg Patient Safety Indicators, Quality… more
- Immigration and Customs Enforcement (IN)
- …and Related Health Problems, 10th revision (ICD-10), current procedural terminology (CPT), diagnosis - related group ( DRG ), and other Centers for ... activities, processes, and policies for facilities that house ICE noncitizens, related to off-site referrals, medical payment authorization requests, and related… more
- Conviva (Tallahassee, FL)
- …of methods, techniques, and analytical approach. The Supervisor, Medical Coding confirms appropriate diagnosis related group ( DRG ) assignments. **Job ... to or clarifies internal requests for medical information. + Decisions are typically related to schedule, plans and daily operations. + Performs escalated or more… more
- Sanford Health (West 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
- 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 ... physician and outcomes, provides or coordinates education to all internal customers related to compliance, coding, and clinical documentation issues and acts as a… more
- Ascension Health (Laredo, TX)
- …Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis - Related Group ( DRG ) assignments. + Obtain ... acceptable productivity/quality rates as defined per coding policy. + Query physician when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. + Maintain knowledge of and comply with… more
- Ascension Health (Vestavia Hills, AL)
- …Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis - Related Group ( DRG ) assignments. + Obtain ... acceptable productivity/quality rates as defined per coding policy. + Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. + Maintain knowledge of and comply… more