- Elevance Health (Waukesha, WI)
- …medical-expense spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : Diagnosis Related Group Clinical Validation Auditor-RN ... and Experiences** : + BA/BS preferred. + Experience with vendor based Diagnosis - Related Group (DRG) Coding/ Clinical Validation Audit setting or… more
- TEKsystems (Milwaukee, WI)
- …efforts designed to ensure the accuracy of diagnosis and procedural coding, Diagnosis Related Group (DRG) assignment, severity of illness (SOI), and ... an RN who has 2-3 years working as a Clinical Documentation Integrity RN in the acute care inpatient...the patient by ensuring provider documentation supports all applicable diagnosis codes. + Ensures assignment of the working DRG… more
- BrightSpring Health Services (Jackson, WI)
- …and assigning appropriate hospice personnel to case + Reviewing patient medical diagnosis , prognosis, medications, procedures and clinical course + Assisting ... Our Company Allay Hospice Overview RN Clinical Supervisor Location: Jackson, WI Coverage Area: Jackson -Washington and Ozaukee Counties. Status: Full-Time 8AM-4:30PM… more
- Ascension Health (Muskego, WI)
- …accuracy of medical record documentation. + Complete admission reviews and assigns a working Diagnosis Related Group . Ensures the working DRG and other ... information are entered in the Clinical Documentation Improvement database. + Initiate and maintain extensive...since 1848. Operating 17 hospital campuses and over 100 related healthcare facilities from Racine to Appleton, you will… more
- St Croix Hospice (Oak Creek, WI)
- …patient status and needs change. + Uses health assessment data to determine nursing diagnosis . + Develops a care plan that establishes goals, based on nursing ... diagnosis and incorporates palliative nursing actions. Includes the patient...Counsels the patient and family in meeting nursing and related needs. + Provides health care instructions to the… more
- Molina Healthcare (Milwaukee, WI)
- …reports quality of care issues. + Assists with complex claim review including diagnosis - related group (DRG) validation, itemized bill review, appropriate ... regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and… more
- Ascension Health (Glendale, WI)
- …Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis - Related Group (DRG) assignments. + Perform complex ... from patient records. + Assign the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common… more