• Clinical Reimbursement

    The 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...required to verify assignment of Patient Safety Indicators, HAC, Clinical Documentation Improvement,Sepsis and any other charts meeting criteria… more
    The Mount Sinai Health System (08/21/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (New York, NY)
    …Inpatient Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation ... **Anticipated End Date:** 2024-09-23 **Position Title:** Diagnosis Related Group Clinical Validation Auditor **Job Description:** **Diagnosis Related Group … more
    Elevance Health (09/06/24)
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  • Coding Quality Auditor

    Hackensack Meridian Health (Hackensack, NJ)
    …+ Apply reason/tracking code and rationale (if needed) in 3M as needed for DRG mismatches on Clinical Documentation Improvement (CDI) reviewed cases. + Provides ... **Coding Quality Auditor** is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to insure… more
    Hackensack Meridian Health (08/09/24)
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  • Inpatient Coder-Evening

    Hackensack Meridian Health (Hackensack, NJ)
    …+ Apply reason/tracking code and rationale (if needed) in 3M as needed for DRG mismatches on Clinical Documentation Improvement (CDI) reviewed cases. + Queries ... **_Health_** includes: + Assigns International Classification of Diseases (ICD)-10-CM Clinical Modification (CM) and ICD-10-Procedure Coding System (PCS) codes… more
    Hackensack Meridian Health (07/18/24)
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  • Senior Inpatient Coder

    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
    WMCHealth (09/06/24)
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  • Revenue Cycle Analyst, Physician Billing

    Hackensack Meridian Health (Hasbrouck Heights, NJ)
    …but are not limited to Patient Accounting, Case Management, Health Information, Clinical , Training, Managed Care, Outsource Partners, Practice Management and DTS . ... opportunities presented at inter disciplinary meetings. + Collaborates with Department Manager in developing processes and workflows on trends identified on various… more
    Hackensack Meridian Health (06/20/24)
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