- Elevance Health (Indianapolis, IN)
- …to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement ... : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting...Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. +… more
- Insight Global (Miami, FL)
- Job Description Insight Global is looking to hire 2 remote Inpatient DRG Coding Specialists for a healthcare provider in the South Florida area. We are seeking a ... detail-oriented and experienced Inpatient DRG Coding Specialist to join our Health...role is crucial in optimizing hospital reimbursement and supporting quality patient care. Responsibilities include: * Review … more
- Mount Sinai Health System (New York, NY)
- …or equivalent experience preferred. 10 years experience, to include 3+ years of medical/surgical coding and 3+ years of DRG appeal. Must have excellent working ... DRG reimbursement methodology. Demonstrated knowledge of ICD-9 codes, DRG and CPT coding . **Responsibilities** 1. Analyzes...and analyzes PSIs and HACs to ensure that the coding assignment was properly assigned based upon review… more
- Zelis (TX)
- …uploading all provider communications, clinical rationale, and/or financial research + Identify new DRG coding concepts to expand the DRG product. + ... responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines… more
- Kaleida Health (Buffalo, NY)
- …and insurance / managed care practices including but not limited to: utilization review , RAC, MAC, Q10, clinical and DRG denial management required. Reg ... - Clinical Revenue Cycle Admin **Job Description:** The Director, Clinical & DRG Denials provides clinical leadership and administrative guidance to the Clinical… more
- Intermountain Health (Columbus, OH)
- …record data using International Classification of Diseases Clinical Modification and Procedure Coding System (ICD-10-CM and PCS) at an advanced level of complexity. ... ICD-10 code Procedure Classification System (PCS) codes and Diagnosis Related Groups ( DRG ) to ensure accurate billing data for patient populations and publicly… more
- HCA Healthcare (Nashville, TN)
- …for this role.** Do you want to join an organization that invests in you as a Coding Quality Review Specialist? At Work from Home, you come first. HCA ... and you have the opportunity to make a difference. We are looking for a dedicated Coding Quality Review Specialist like you to be a part of our team. **Job… more
- Hackensack Meridian Health (Hackensack, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Coding Quality Auditor** is responsible for monitoring compliance with applicable ... weekend.** **Responsibilities** A day in the life of an ** Coding Quality Auditor** at **Hackensack Meridian** **_Health_**...diagnosis and procedure codes and charts abstracted information for DRG assignments into the 3M coding computer… more
- Houston Methodist (Austin, TX)
- …rules and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. ... Additional duties include participating in quality review and performance improvement projects throughout...DRG assignment, sequencing of diagnoses and procedures, and coding and documentation training. + Assists with quality… more
- R1 RCM (Boise, ID)
- …As our Coding Liaison, you will provide an advanced level of coding review related to potential coding quality concerns at the request of customer ... customers and collaborative partners noted above to determine if coding quality issues exist. Review .../APR- DRG , APC assignment + Partnering with the Quality & Risk teams to perform coding … more
- Hartford HealthCare (Newington, CT)
- …and/or encoder, coding manuals and other reference material. 3. Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes ... Rehabilitation coding . 6. Adheres to all department coding procedures, policies, guidelines and quality standards....* Various DRG methodologies (MS- DRG , APR- DRG , Tricare, etc.) * IP Rehabilitation coding … more
- Hartford HealthCare (Farmington, CT)
- …and/or encoder, coding manuals and other reference material. 3. Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes ... Rehabilitation coding . 6. Adheres to all department coding procedures, policies, guidelines and quality standards..... Various DRG methodologies (MS- DRG , APR- DRG , Tricare, etc.) . IP Rehabilitation coding … more
- Tidelands Health (Murrells Inlet, SC)
- …and accurate assignment of present on admission (POA) indicators. + Consistently meets coding quality and productivity standards established by the coding ... review documentation and serve as department expert on coding questions. + Gathers and verifies all information required...with the Compliance/ Quality Team when alerted to coding quality issues found via internal or… more
- Hackensack Meridian Health (Hackensack, NJ)
- …transform healthcare and serve as a leader of positive change. The **Inpatient Coding / Quality Educator** designs, delivers and evaluates coding education and ... of the Medical Record, locates information to support or provide specificity for coding . Facilitates improvement in overall quality , completeness and accuracy of… more
- University of Washington (Seattle, WA)
- …results of internal audits and partner with Compliance on external audit education + Review DRG and CPT claim denials for commercial payers. Maintain written ... coding oversight for + Respond to general coding questions (ICD, DRG , CPT and HCPCS),...make recommendations to the Director, as needed, to maintain coding compliance/ quality and mitigate risk + Coordinate… more
- Penn Medicine (Philadelphia, PA)
- …that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician ... shape our future each day. Are you living your life's work? **HIM Inpatient Coding Specialist I** **This position can be worked remotely from anywhere within the… more
- Penn Medicine (Philadelphia, PA)
- …that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician ... future each day. Are you living your life's work? **HIM Inpatient Coding Specialist I** **Corporate Services/ Health Information Management** Job Summary: + Performs… more
- Texas Health Resources (Arlington, TX)
- **Education & Quality Coding Analyst** _Are you looking for a rewarding career with an award-winning company? We're looking for a qualified_ **Education & ... Quality Coding Analyst** _like you to join...DRG methodologies and all regulatory/payer requirements associated with coding . Demonstrated knowledge of an ability to apply THR… more
- Vanderbilt University Medical Center (Nashville, TN)
- …will draft physician queries, to clarify documentation for optimal coding and quality reporting. . KEY RESPONSIBILITIES + Review , analyze and interpret the ... preeminent programs in patient care, education, and research. **Organization:** HIM - Coding 10 **Job Summary:** JOB SUMMARY Reviews documentation in the electronic… more
- MD Anderson Cancer Center (Houston, TX)
- … coding rounds, and seminars and other educational forums. Coding Quality /PHI (33%) + Ability to review and abstract data with clear understanding ... + Provides excellent and supportive feedback to management and coordinators for quality reviews, coding education/training. + Ability to stay abreast of… more