- Elevance Health (Indianapolis, IN)
- …will live within 50 miles of one of our Elevance Health PulsePoint locations. The ** DIAGNOSTIC RELATED GROUP CODING AUDITOR** is responsible for auditing ... **DRG ( DIAGNOSTIC RELATED GROUP ) CODING AUDITOR** **Location** : This position will work a hybrid model (remote and office). The ideal candidate… more
- Hartford HealthCare (Farmington, CT)
- …* ICD‑10-CM diagnostic and CPT/HCPCS procedure codes * Clinical information related to areas of responsibility * Microsoft Office Products; Word, Excel * Encoder ... 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
- Hartford HealthCare (Newington, CT)
- …. ICD‑10-CM diagnostic and CPT/HCPCS procedure codes . Clinical information related to areas of responsibility . Microsoft Office Products; Word, Excel . Encoder ... 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
- Providence (Everett, WA)
- **Description** The Coding Analyst is responsible for detailed diagnostic coding associated with Risk Adjustment and HCC coding . This impacts revenue and ... and providers. This includes the identification and researching of provider diagnostic coding issues; medical record review, documentation standards and… more
- Tidelands Health (Murrells Inlet, SC)
- …statistical research, Severity of Illness (SOI) and Risk of Mortality (ROM), best Diagnostic Related Group (DRG) outcome, and accurate assignment of ... the correct status/hold when additional documentation is required for accurate and complete coding . + Have knowledge of payer guidelines related to MUE, Medical… more
- Hartford HealthCare (Farmington, CT)
- …with coders and other department to resolve. 3. Reviews and investigate other issues related to IP coding and communicates with IP coder and other departments ... Various DRG methodologies (MS-DRG, APR-DRG, Tricare, etc.) . IP Rehabilitation IRF-PAI coding requirement . Clinical information related to areas of… more
- Hartford HealthCare (Farmington, CT)
- …. UHDDS . Various DRG methodologies (MS-DRG, APR-DRG, Tricare, etc.) . IP Rehabilitation coding rules for IRF-PAI . Clinical information related to areas of ... 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
- Hartford HealthCare (Newington, CT)
- …* UHDDS * Various DRG methodologies (MS-DRG, APR-DRG, Tricare, etc.) * IP Rehabilitation coding rules for IRF-PAI * Clinical information related to areas of ... 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
- Vanderbilt University Medical Center (Nashville, TN)
- … diagnostic and procedural codes to encounters using designated coding classification independently. Supports ongoing training and development of staff. . ... programs in patient care, education, and research. **Organization:** HIM - Coding 10 **Job Summary:** JOB SUMMARY Reviews, accurately assigns, and abstracts… more
- Vanderbilt University Medical Center (Nashville, TN)
- … diagnostic and procedural codes to encounters using designated coding classification independently. Supports on-going training and development of staff. . ... care, education, and research. **Organization:** Surgical Sciences, OTO, OPH, Ortho Coding and Billing **Job Summary:** JOB SUMMARY Reviews, accurately assigns, and… more
- Northwell Health (Garden City, NY)
- …Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group (HHRG) Validation to ensure the diagnostic information ... standards are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews codes… more
- The Cigna Group (Bloomfield, CT)
- …of Position:** Evernorth Home Based Care (ENHB), a division of The Cigna Group , is the premier home-based healthcare provider and medical services company. We are ... outcomes and reduce total healthcare costs. We are a group of clinical professionals that understand the needs of...to provide accurate data for HCC (Hierarchical Condition Categories) coding , STAR ratings and reimbursement. + ENHB In Home… more
- Veterans Affairs, Veterans Health Administration (IN)
- … group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records, and assign ... courses in anatomy and physiology, medical terminology, basic ICD diagnostic /procedural, and basic CPT coding . The training...and code assignment. iii. Ability to research and solve coding and documentation related issues. iv. Skill… more
- The Cigna Group (Dover, DE)
- …exacerbations and hospitalizations. + Prescribe medications, order labs or diagnostic testing, and make sub-subspecialty referrals collaborating with the community ... PCP. Interpret laboratory data and diagnostic testing when available to assist in diagnosis of...done in a timely manner. Work with documentation and coding team + Participate in virtual clinical meetings, such… more
- The Cigna Group (Bloomfield, CT)
- …necessity reviews may include: inpatient admissions, outpatient services, surgical and diagnostic procedures, home health, durable medical equipment and out of ... planning, and communication skills + Working knowledge of insurance industry, medical coding (CPT/HCPCS/ICD-10), and overall claims process a plus + Knowledge of… more
- SSM Health (MO)
- …ensuring an accurate reflection of the patient condition in the associated Diagnosis Related Group (DRG) assignments, case-mix index, severity of illness (SOI), ... record, including attending physicians and allied health practitioners. Collaborates with coding professionals to ensure accuracy of diagnostic and procedural… more
- Veterans Affairs, Veterans Health Administration (IN)
- …(CC/MCC), and POA indicators to obtain correct Medicare Severity Diagnosis Related Group (MS-DRG). Medical Records Technician (Coder-Inpatient), GS-7 Experience. ... courses in anatomy and physiology, medical terminology, basic ICD diagnostic /procedural, and basic CPT coding . The training...and code assignment. iii. Ability to research and solve coding and documentation related issues. iv. Skill… more
- Banner Health (AZ)
- …would be coding more complex Hysterectomies, pelvic exenterating, and robotic cases related to female cancers. With this group of subspecialties in OBGYN you ... diagnostic and procedural information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers… more
- Banner Health (Phoenix, AZ)
- …consistent coding work history.** This person will cover our **Radiology** group within banner and will be coding for Interventional Radiology Embolization's ... diagnostic and procedural information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers… more
- Banner Health (AZ)
- … coding work history .** This person will cover our **Radiology** group within banner and will be coding for Interventional Radiology Embolization's ... diagnostic and procedural information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers… more