- Zelis (TX)
- Position Overview: The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG ... based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines,… more
- Kaleida Health (Buffalo, NY)
- …- Clinical Revenue Cycle Admin **Job Description:** The Director, Clinical & DRG Denials provides clinical leadership and administrative guidance to the Clinical ... strategies and tactics to successfully execute, support, implement, and monitor the DRG and Utilization Management Clinical Denial teams Work Plan and, assists in… more
- Crouse Hospital (Syracuse, NY)
- The DRG Denial Specialist works under the Inpatient Coding Manager and oversees compliance with coding standards and regulations. Advises and assists in improvement ... plans for coding and DRG assignment issues. Validates assignment of codes and provides...codes and provides trending and analysis of coding and DRG issues. Works using the mission, vision, and values… more
- The Davey Tree Expert Company (Little Rock, AR)
- Traveling Field Technician 1 | DRG Southeast | UAM Field Inventory Services Little Rock, AR, US, 72201-3736 **Additional Locations:** Northeast Arkansas **Primary ... Overview** **Asset Management** is a division of **Davey Resource Group Inc. ( DRG )** which has been employee-owned since 1979. Asset Management specializes in… more
- The Davey Tree Expert Company (Atlanta, GA)
- Traveling Inventory Specialist | DRG Southeast | UAM Field Inventory Services Atlanta, GA, US, 30360 **Additional Locations:** Carrolton, GA and Surrounding Areas ... Management is a division of Davey Resource Group Inc. ( DRG ) which has been employee-owned since 1979. Asset Management...- 45 hours per week. Compensation based on experience. DRG offers excellent benefits including: health, dental, vision and… more
- The Davey Tree Expert Company (Frankfort, KY)
- Design Field Technician 1 | DRG South | UAM Engineering Frankfort, KY, US, 40601 **Additional Locations:** Kentucky Statewide **Primary Locations:** KY, Frankfort, ... - 45 hours per week. Compensation based on experience. DRG offers excellent benefits including: health, dental, vision and...an Equal Opportunity Employer. Veterans are encouraged to apply. DRG is Employee Owned. We encourage you to take… more
- The Davey Tree Expert Company (Harrisburg, PA)
- Design Field Technician 1 | DRG Northeast | UAM Make Ready Engineering Harrisburg, PA, US, 17101 **Additional Locations:** Pennsylvania Statewide **Primary ... - 45 hours per week. Compensation based on experience. DRG offers excellent benefits including: health, dental, vision and...an Equal Opportunity Employer. Veterans are encouraged to apply. DRG is Employee Owned. We encourage you to take… 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 Information Management...records to assign appropriate ICD-10-CM/PCS codes. * Ensure accurate DRG assignment and compliance with coding guidelines and regulations.… more
- The Davey Tree Expert Company (Raleigh, NC)
- Safety Support Specialist | DRG Midwest | Utility Asset Management Raleigh, NC, US, 27604 **Additional Locations:** Regional Travel: NC, SC, GA, KY, VA **Primary ... a Davey Company, which has been employee-owned since 1979. DRG specializes in managing the assets of utility companies...based on job site visits and other interactions with DRG , and UAM employees and use those assessments/insights when… more
- The Davey Tree Expert Company (Rochester, NY)
- Design Field Technician 1 | DRG Northeast | UAM Make Ready Engineering Rochester, NY, US, 14611 **Additional Locations:** New York Statewide **Primary Locations:** ... - 45 hours per week. Compensation based on experience. DRG offers excellent benefits including: health, dental, vision and...an Equal Opportunity Employer. Veterans are encouraged to apply. DRG is Employee Owned. We encourage you to take… more
- R1 RCM (Detroit, MI)
- …Auditor II, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of reviewing accounts in ... this role you will: . Review inpatient medical records for validation of DRG assignment . Provide detailed rationale and supporting evidence for recommendation and… more
- R1 RCM (Boise, ID)
- …Auditor I, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of reviewing accounts in proprietary ... will: + Review inpatient medical records for validation of DRG assignment + Provide detailed rationale and supporting evidence...and/or CCS + 3+ years of ICD-10 coding and DRG reimbursement experience, with recent acute inpatient coding experience… more
- The Davey Tree Expert Company (Richfield, OH)
- Utility Designer 1 | DRG Midwest | UAM Make Ready Engineering Richfield, OH, US, 44286 **Additional Locations:** N/A **Primary Locations:** OH, Richfield, 3900 ... Overview** Asset Management is a division of Davey Resource Group Inc. ( DRG ), a Davey Company, which has been employee-owned since 1979. Asset Management… more
- Intermountain Health (Columbus, OH)
- …ICD-10 code Procedure Classification System (PCS) codes and Diagnosis Related Groups ( DRG ) to ensure accurate billing data for patient populations and publicly ... reported data. This position uses extensive knowledge and expertise to work alongside and collaborate with Clinical Documentation Integrity to review complex inpatient facility encounters and assign ICD-10 CM and PCS codes based on provider and clinical… more
- Hackensack Meridian Health (Hackensack, NJ)
- …serve as a leader of positive change. The **Diagnosis Related Group ( DRG ) Auditor** is responsible for auditing clinical documentation that supports code assignment ... this includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and efficiency… more
- SSM Health (MO)
- …documentation to reflect treatment, decision-making and medical documentation. Assigns a working DRG and severity level using coding rules and guidelines with follow ... reviews for comparative analysis of CDI Specialist and HIM APR- DRG and severity level assignment. Reviews clinical issues with...issues with the coding staff to assign a working DRG . Develops and conducts ongoing education for new staff,… more
- Trinity Health (Livonia, MI)
- …and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS- DRG ), All Patient Refined DRGs (APR), Present on Admission (POA), as ... of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS- DRG , APR DRG , POA, SOI & ROM assignments. Assigns appropriate code(s) by… more
- Trinity Health (Livonia, MI)
- …and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS- DRG ), All Patient Refined DRGs (APR), Present on Admission (POA), as ... of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS- DRG , APR DRG , POA, SOI & ROM assignments. Assigns appropriate code(s) by… more
- Hartford HealthCare (Newington, CT)
- …alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS- DRG ). Data is classified for internal and external statistical reporting, ... and/or encoder, coding manuals and other reference material. 3. Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The purpose of DRG validation is to confirm that diagnostic, procedural information, and the discharge status of the beneficiary, as coded and ... 10th Revision (ICD-10-CM and ICD-10-PCS) codes and the Diagnosis Related Groups ( DRG ). The CRM reviews the physician documentation for specificity, completeness and… more
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