- Elevance Health (Richmond, VA)
- …Make an Extraordinary Impact. Title : Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG ) **Virtual: ** _ ?_ This role ... reside within a commuting distance from an office. The DRG Coding Auditor is responsible for auditing inpatient medical...and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG… more
- Elevance Health (Washington, DC)
- Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG ) Virtual: This role enables associates to work virtually ... and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. How you will make an impact:...minimum of 5 years of experience working with ICD-9/10CM, MS- DRG , AP- DRG and APR- DRG ; or… more
- Humana (Boise, ID)
- …expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG, APR- DRG , MS- DRG , etc). This role is within the Integrated Network ... for hospitals and facilities Developing expertise in complex groupers (EAPG, APR- DRG , MS- DRG , etc) utilized in Medicaid reimbursement Reviewing Medicaid… more
- Taco Bell (Santa Rosa, CA)
- …This role is crucial for creating company culture that is aligned with DRG 's values. MAJOR RESPONSIBILITIES Team Development: Identify, train and mentor a team of ... learning and growth to the team. Culture & Values: Actively reinforce DRG 's culture and values by incorporating individual and team recognition, promoting… more
- Christus Health (Woodworth, LA)
- …of clinical severity and services rendered to patients with a DRG based payer (Medicare, Medicaid). Supports timely, accurate and complete documentation ... a complete reflection of the patient's clinical status and care Maintain a DRG worksheet to assist coders on identifying all documented POA/HAC, diagnosis and… more
- Taco Bell (Liberty, MO)
- …is between $14.75-$17.25 per hour depending on experience and availability! BENEFITS DRG Cares Grant Program - Grants to assist employees with life challenges ... and financial assistance DRG Savings Marketplace- Exclusive access to discounts for ...DRG Savings Marketplace- Exclusive access to discounts for DRG employees Employee Assistance Program Live Mas Scholarship Program… more
- Taco Bell (Henderson, NV)
- …is between $18.50-$24.00 per hour depending on experience and availability! BENEFITS DRG Cares Grant Program - Grants to assist employees with life challenges ... and financial assistance DRG Savings Marketplace- Exclusive access to discounts for ...DRG Savings Marketplace- Exclusive access to discounts for DRG employees Employee Assistance Program Live Mas Scholarship Program… more
- Taco Bell (Montclair, CA)
- …Keep upper leadership informed about any issues that arise at the restaurant. BENEFITS DRG Cares Grant Program - Grants to assist employees with life challenges and ... financial assistance DRG Savings Marketplace - Exclusive access to discounts for DRG employees Employee Assistance Program - Counseling services, legal support,… more
- Datavant (Columbus, OH)
- …the future of healthcare from your own workspace! Seeking Inpatient Auditor proficient in MS- DRG and APR- DRG What You Will Do: Performs Inpatient Facility coding ... assignment of codes and other coding-related elements using MS DRG or APR DRGs. Provides rich and concise rationale...teamwork, and leadership skills Seeking Inpatient Auditor proficient in MS- DRG and APR- DRG What You Need to… more
- Taco Bell (De Soto, KS)
- …is between $15.75-$18.75 per hour depending on experience and availability! BENEFITS DRG Cares Grant Program - Grants to assist employees with life challenges ... and financial assistance DRG Savings Marketplace- Exclusive access to discounts for ...DRG Savings Marketplace- Exclusive access to discounts for DRG employees Employee Assistance Program Live Mas Scholarship Program… more
- Taco Bell (Canyon Country, CA)
- …Support: Assist the GM in the management of restaurant operations. Benefits DRG Cares Grant Program - Financial assistance for employees facing life challenges. ... DRG Savings Marketplace - Exclusive discounts for DRG employees. Employee Assistance Program - Counseling, legal support, travel assistance, and more. Live Mas… more
- Taco Bell (Santa Clara, CA)
- …Follow all company policies and procedures. Maintain a professional appearance. BENEFITS DRG Cares Grant Program: Grants to assist employees with life challenges and ... financial assistance. DRG Savings Marketplace: Exclusive access to discounts for ...DRG Savings Marketplace: Exclusive access to discounts for DRG employees. Employee Assistance Program: Counseling services, legal support,… more
- Christus Health (Vidor, TX)
- …medical records. The clinical documentation RN will facilitate accurate DRG assignment and obtain appropriate documentation through extensive interaction with ... reflection of the patient's clinical status and care Maintains an electronic DRG worksheet to assist coders on identifying all documented diagnosis and procedures… more
- UnitedHealth Group (Hartford, CT)
- …will be discussed on your first day of employment. Primary Responsibilities: Perform DRG validation reviews and confirm appropriate diagnosis related group ( DRG ) ... claims 2+ years of experience with medical records review / auditing including MS- DRG coding validation and / OR Acute Inpatient Coding experience 2+ years of… more
- Baylor Scott & White Health (Albany, NY)
- …references. These references ensure accurate coding and grouping of classification assignments (eg, MS- DRG , APR- DRG , APC, etc.). The Coder 2 will abstract and ... enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. Essential Functions of the Role… more
- Oracle (Hartford, CT)
- …and Clinical Documentation Improvement experience. Knowledge of medical and insurance terminology, MS- DRG , APR- DRG , CPT, ICD coding structures, and billing forms ... (UB, 1500). Experience with coding, clinical validation, and medical necessity for outpatient and inpatient stays. Knowledge of third-party payor rules and regulations. 2-3 years of Utilization Review experience in a healthcare setting preferred; 1-2 years of… more
- Molina Healthcare (Chandler, AZ)
- …modeling, etc. Experience with industry standard normalization/reimbursement methodologies (APR- DRG , MS- DRG , EAPG, APC) Preferred License, Certification, ... Association N/A To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
- Datavant (Columbus, OH)
- …medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. Review non-CC/MCC records to assess proper coding ... for review by the facility or CCS HIM director. Review disagreements on APC/ DRG changes with the appropriate manager. Prepare the final reports for the coding… more
- Sutter Health (Oakland, CA)
- …acuity and risk for mortality, in addition to Direct Report Groups ( DRG ) assignment. Job Description : EDUCATION: Doctorate: Graduate of an accredited medical ... Care (LTAC), B&C, Sub-acute, Acute rehab. Proficient Knowledge of coding and DRG assignment process preferred. Must be able to effectively communicate with, and… more
- Christus Health (San Antonio, TX)
- …for PAN referrals. Proactively uses 3M report which assigns working MS/APR DRG in MIDAS daily, and queries, communicates and collaborates with nursing, physicians, ... and other healthcare professionals daily related to length of stay (LOS). Adheres to MCG process for documentation per training. Documents delays of care and readmits appropriately and timely to develop potential trends and improved interventions. Payer… more
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