- Elevance Health (Washington, DC)
- …and efficiency recommendations. Minimum Requirements: Requires current, active, unrestricted Registered Nurse license in applicable state(s). Requires a ... Title: Diagnosis Related Group Clinical Validation Auditor- RN (CDI, MS- DRG , AP- DRG ...such as CCS or CIC. Experience with third party DRG Coding and/or Clinical Validation Audits or… more
- Elevance Health (Richmond, VA)
- …be considered if candidates reside within a commuting distance from an office. The DRG Coding Auditor is responsible for auditing inpatient medical records and ... Extraordinary Impact. Title : Diagnosis Related Group Clinical Validation Auditor- RN (CDI, MS- DRG , AP- DRG and... DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending… more
- Community Health Systems (Fort Wayne, IN)
- …professionalism, collaboration, and leadership in interdisciplinary environments Licenses and Certifications RN - Registered Nurse - State Licensure ... of disease processes, clinical care standards, and medical terminology Proficient in ICD-10-CM/PCS coding principles, MS- DRG and APR- DRG assignment, and the… more
- LA Care Health Plan (Los Angeles, CA)
- …of Microsoft Office suite, including Word, Excel and PowerPoint. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Payment Integrity Nurse Coder RN III Job Category:...and completeness of ICD, Rev Code, CPT, HCPCs, APR, DRG , POA, and all relevant coding elements.… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …CPC designation within one year of hire date. + Knowledge of medical record coding conventions (eg CPT, DRG , HCPCS, ICD10, etc.). + A general understanding ... group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government...on or before December 28, 2022. + Current NYS RN license with a minimum of three years clinical… more
- Deloitte (Los Angeles, CA)
- …Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical ... diagnoses, treatments, and follow-up entries in medical records to lead to coding accuracy + Identify gaps...CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician assistant, case manager,… more
- Community Health Systems (Fort Wayne, IN)
- …professionalism, collaboration, and leadership in interdisciplinary environments **Licenses and Certifications** + RN - Registered Nurse - State Licensure ... **Job Summary** The Clinical Documentation Improvement (CDI) Specialist Lead provides advanced support for CDI activities within...care standards, and medical terminology + Proficient in ICD-10-CM/PCS coding principles, MS- DRG and APR- DRG … more
- Trinity Health (Livonia, MI)
- …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... Administrator (RHIA) + Registered Health Information Technician (RHIT) + Certified Coding Specialists (CCS) + Licensure as a physician assistant (PA) or Nurse… more
- Hartford HealthCare (Farmington, CT)
- …others as needed. **Education** . Bachelor degree or equivalent experience **Experience** . Minimum: Registered Nurse ( RN ) with 3-5 years CDS experience . ... experience o Previous management experience preferred **Licensure, Certification, Registration** . RN and/or Certified Coding Specialist (CCS) **And** .… more
- BronxCare Health System (Bronx, NY)
- …queries, ongoing opportunities, and physician process and outcome data. Qualifications - Registered nurse or other health care profession required. -Three ... CDI queries and perform second level reviews. - Identify DRG mismatches and manage and collaborate with Coding... DRG mismatches and manage and collaborate with Coding team on reconciling DRG mismatches. -Develop… more
- Trinity Health (Livonia, MI)
- …Nursing or the equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... Administrator (RHIA) + Registered Health Information Technician (RHIT) + Certified Coding Specialists (CCS) + Licensure as a physician assistant (PA) or Nurse… more
- Trinity Health (Columbus, OH)
- …lieu of a RN ..** **Licensure / Certification: Current license to practice as registered nurse in the State of Ohio.** ** Registered Health Information ... Administrator (RHIA), Registered Health Information** **Technologist (RHIT), or Certified Coding Specialist (CCS) will be considered in lieu of a RN .**… more
- Stanford Health Care (Palo Alto, CA)
- …billing practices. + Proficient EXCEL, WORD, PowerPoint skills **Licenses and Certifications** + RN - Registered Nurse - State Licensure And/Or Compact ... internal and operational controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to… more
