- Elevance Health (Indianapolis, IN)
- …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 ...as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or… 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
- 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
- Fairview Health Services (St. Paul, MN)
- … coding experience + Minimum 3 years CDI experience **License/Certification/Registration** + Current Registered Nurse of MN ( RN ) licensure or current ... Registered Health Information Tech (RHIT) credentials or Certified Coding Specialist (CCS) or Certified Documentation Integrity Practitioner (CDIP) or Certified… 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
- 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
- Hartford HealthCare (Farmington, CT)
- …Manager or Supervisor **Education** . Associates Degree or equivalent experience. **Experience** . Registered nurse ( RN ) with recent clinical experience in ... an ongoing basis. CDS 1 may mentor, train or lead other CDS during their orientation period and assist...1-2 years CDS experience **Licensure, Certification, Registration** . Minimum: RN and/or Certified Coding Specialist (CCS) .… more
- Catholic Health (Buffalo, NY)
- …is vital. Responsibilities: EDUCATION + Bachelor of Science Nursing (BSN) degree + Registered Nurse with a current New York State license CERTIFICATION + ... physicians and administration regarding issues related to the appropriateness of inpatient DRG assignment and Level of Care. Coordinates follow-up audits to ensure… more
- Trinity Health (Columbus, OH)
- …in lieu of an RN . + Licensure/Certification: Current license to practice as registered nurse in the State of Ohio. Registered Health Information ... Registered Health Information Technologist (RHIT), or Certified Coding Specialist (CCS) will be considered in lieu of...managed care, or Clinical Documentation and experience in ICD-10 coding conventions and DRG methodology preferred. +… 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