- 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
- Elevance Health (Morristown, NJ)
- …Inpatient Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation ... **Diagnosis Related Group Clinical Validation Auditor** **Location:** This position will work...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
- 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 (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