- Mount Sinai Health System (New York, NY)
- …treatment. Resolves edits and rebills cases in 3M. Reviews and reconciles DRG discrepancies between DRGS/APR's and the Clinical Documentation Quality Improvement ... **Job Description** The purpose of DRG validation is to confirm that diagnostic, procedural...experience preferred. * Excellent current knowledge of MS-DRGs, APR-DRGs reimbursement methodology. * Good working knowledge of electronic health… more
- BronxCare Health System (Bronx, NY)
- Overview The Case Manager will coordinate care using a collaborative approach with the multidisciplinary team in identifying the required services needed to meet an ... care and medical necessity in order to achieve certification status and insure reimbursement to the hospital. - Identify risk factors (ie actual and potential… more
- WMCHealth (Valhalla, NY)
- …Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Professional/Non- Clinical Department: Health Info Mgmt-WMC Health Union: No Position: ... Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement . + Interprets and applies American Hospital Association Official Coding… more
- BronxCare Health System (Bronx, NY)
- …clarification. - Inputs all codes and other required data into the clinical information system for accurate DRG assignments. Identifies non-payment conditions ... Overview Review clinical documentation and diagnostic results as appropriate to...When necessary had to forward error cases to the manager , correct the patient disposition upon patient's discharge. -… more