• DRG Validator & Appeals Reviewer-Clinical…

    MetroHealth (Cleveland, OH)
    …health centers.** **Summary:** **Performs secondary clinical chart reviews, resolves DRG discrepancies, and educates clinical staff regarding opportunities for ... populations to identify opportunities to improve documentation accuracy. Reviews DRG downgrades and strategic CDI appeals, and responds to...or Physician (MD / DO) with CDI experience in DRG validation or DRG downgrade activities, or… more
    MetroHealth (11/07/24)
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  • Director Clinical and DRG Denials

    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
    Kaleida Health (11/25/24)
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  • Project Manager | DRG Midwest | UAM…

    The Davey Tree Expert Company (Richfield, OH)
    Project Manager | DRG Midwest | UAM Engineering Richfield, OH, US, 44286 **Additional Locations:** Regional Travel **Primary Locations:** OH, Richfield, 3900 Kinross ... **Job Duties** **What You'll Do:** + Ensures compliance with DRG Policies and Procedures. + Fosters collaborative and partnering...is a wholly subsidiary of Davey Tree Expert Company. DRG has been employee-owned since 1979. DRG more
    The Davey Tree Expert Company (10/16/24)
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  • Traveling Field Technician 1 | DRG

    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 (11/30/24)
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  • DRG Auditor

    TEKsystems (Virginia Beach, VA)
    DRG Auditor (CCS) Location: Fully remote - Must be in approved state Experience Level: Expert Employment Type: 6 month contract to hire (permanent) Salary: $27hr+ ... and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data Benefits of this Role: + Weekly paychecks +… more
    TEKsystems (11/21/24)
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  • Design Field Technician 1 | DRG Midwest…

    The Davey Tree Expert Company (Richfield, OH)
    Design Field Technician 1 | DRG Midwest | UAM Engineering Richfield, OH, US, 44286 **Additional Locations:** Northeastern Ohio **Primary Locations:** OH, Richfield, ... - 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 (11/15/24)
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  • Senior DRG Coder - Revenue Cycle Coding…

    UTMB Health (Galveston, TX)
    Senior DRG Coder - Revenue Cycle Coding (Certification Required) **Galveston, Texas, United States** **Hot** Business, Managerial & Finance UTMB Health Requisition # ... or equivalent and three years of experience. The Sr. DRG coder must be proficient in inpatient coding with...all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and… more
    UTMB Health (11/13/24)
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  • Inpatient DRG Coding Specialist, HIM…

    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
    Insight Global (09/26/24)
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  • Medical Director - Medical Policy & Operations…

    CVS Health (Sacramento, CA)
    …Commercial and Medicare environment. In addition, be a subject matter expert in DRG reviews and ICD-10 code selection. This Medical Director provides subject matter ... CPT, Clinical Policy, Reimbursement and Health Care Systems. * Experience with DRG reviews * Prior hospitalist experience * Strong communication skills both written… more
    CVS Health (11/22/24)
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  • DRG Auditor

    TEKsystems (Atlanta, GA)
    …and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data Skills: Inpatient Coding, CCS, DRG , ... Epic, 3M Additional Skills & Qualifications: Academic hospital experience High acuity experience Trauma experience Rehab and LTAC experience Inpatient audit experience Experience Level: Entry Level About TEKsystems: We're partners in transformation. We help… more
    TEKsystems (11/21/24)
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  • Utility Designer 1 | DRG Midwest | UAM Make…

    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
    The Davey Tree Expert Company (11/12/24)
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  • Invoice Specialist | Utility Asset Management,…

    The Davey Tree Expert Company (Richfield, OH)
    Invoice Specialist | Utility Asset Management, DRG Richfield, OH, US, 44286 **Additional Locations:** OH **Primary Locations:** OH, Richfield, 3900 Kinross Lakes ... Overview** Utility Asset Management is a division of Davey Resource Group Inc. ( DRG ), a wholly-owned subsidiary of the Davey Tree Company. Davey has been… more
    The Davey Tree Expert Company (11/05/24)
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  • Diagnosis Related Group Auditor

    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
    Hackensack Meridian Health (09/06/24)
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  • Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …data and coding of all diagnosis and procedure codes to assure properly assigned MS- DRG for the purposes of appealing proposed MS- DRG and coding changes by ... record reviews for diagnosis and procedure code assignment and MS- DRG accuracy for inpatient encounters and CPT assignment for...encounters and CPT assignment for OP encounters. 2. Analyze DRG or CPT denial letters and draft appeal letters,… more
    St. Luke's University Health Network (11/09/24)
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  • RN Clinical Documentation Specialist, First…

    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
    SSM Health (09/05/24)
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  • Inpatient Coder 2 Certified / HIM Coding

    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
    Hartford HealthCare (11/28/24)
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  • Inpatient Coder 4 Certified / HIM Coding

    Hartford HealthCare (Newington, CT)
    …assignment of alpha numeric diagnosis/procedure codes and Diagnosis Related Groups ( 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
    Hartford HealthCare (10/21/24)
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  • SO Coder IV Inpatient

    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 (09/20/24)
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  • SO Coder IV Inpatient

    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 (09/11/24)
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  • Quality Officer III (Inpatient Coding Review)…

    RWJBarnabas Health (Oceanport, NJ)
    …is responsible for ensuring accuracy and integrity of ICD-10-CM/PCS coding and DRG assignment for inpatient Medicare encounters. This requires critical thinking and ... the accuracy and integrity of ICD-10-CM/PCS, CPT coding when applicable and DRG assignment for adherence to Federal and State Regulations and Compliance Guidelines.… more
    RWJBarnabas Health (11/27/24)
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