- HCA Healthcare (Nashville, TN)
- …for a work environment where diversity and inclusion thrive? Submit your application for our Coding Quality Review DRG Specialist opening with Work from ... **_Note: Eligibility for benefits may vary by location._** We are seeking a Coding Quality Review DRG Specialist for our team to ensure… more
- Zelis (St. Petersburg, FL)
- …uploading all provider communications, clinical rationale, and/or financial research + Identify new DRG coding concepts to expand the DRG product. + ... responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines… more
- Zelis (Plano, TX)
- …CPT Assistant + Participate in client facing meetings as necessary + Identify new DRG coding concepts to drive growth opportunities. + Recommend efficiencies and ... Position Overview : The Manager, DRG Validation of the Expert Claims Review...DRG validation reviews to ensure accurate and compliant coding based on industry standard inpatient coding … more
- LifePoint Health (Brentwood, TN)
- …create environments where employees find purpose and fulfillment. *What you'll do:* As a* DRG Downgrade Specialist*, you willconduct a thorough review of the ... * DRG Downgrade Specialist* *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will be an… more
- Kaleida Health (Buffalo, NY)
- …and insurance / managed care practices including but not limited to: utilization review , RAC, MAC, Q10, clinical and DRG denial management required. Reg ... - Clinical Revenue Cycle Admin **Job Description:** The Director, Clinical & DRG Denials provides clinical leadership and administrative guidance to the Clinical… more
- The Mount Sinai Health System (New York, NY)
- Maintains responsibility for coding / DRG validation review , DRG PRO activities and assurance of optimal reimbursement. Oversees compliance with coding ... generation of medical leaders and innovators; and supporting local communities by delivering high- quality care to all who need it. Through the integration of its… more
- UPMC (Pittsburgh, PA)
- **UPMC Health Plan is looking for a Senior Manager, Clinical and Coding Review to join the Quality Assurance team!** Directs and coordinates activities of ... of work are met or exceed service requirements. Specifically, is responsible for quality review /monitoring of Health Plan Coding Specialist Staff/or external… more
- Hackensack Meridian Health (Hackensack, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Coding Quality Auditor** is responsible for monitoring compliance with applicable ... 1-3 years experience in an acute care hospital conducting coding quality audits.** **Responsibilities** A day in...diagnosis and procedure codes and charts abstracted information for DRG assignments into the 3M coding computer… more
- Sutter Health (San Francisco, CA)
- …and CDS query templates based on coding changes, regulatory modifications and quality review findings. + Support CDI related processes that ensure complete ... Bay Administration **Position Overview:** Under the direction of CDI leadership, the CDI Coding Quality Liaison oversees accuracy and completeness of the final… more
- Hartford HealthCare (Farmington, CT)
- …and/or encoder, coding manuals and other reference material. 3. Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes ... Rehabilitation coding . 6. Adheres to all department coding procedures, policies, guidelines and quality standards..... Various DRG methodologies (MS- DRG , APR- DRG , Tricare, etc.) . IP Rehabilitation coding … more
- Hartford HealthCare (Newington, CT)
- …and/or encoder, coding manuals and other reference material. 3. Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes ... Rehabilitation coding . 6. Adheres to all department coding procedures, policies, guidelines and quality standards....* Various DRG methodologies (MS- DRG , APR- DRG , Tricare, etc.) * IP Rehabilitation coding … more
- Tidelands Health (Murrells Inlet, SC)
- …and accurate assignment of present on admission (POA) indicators. + Consistently meets coding quality and productivity standards established by the coding ... review documentation and serve as department expert on coding questions. + Gathers and verifies all information required...with the Compliance/ Quality Team when alerted to coding quality issues found via internal or… more
- Corewell Health (Southfield, MI)
- …, and Coding Audit; Inpatient, Outpatient , Emergency and Professional Coding Performs quality and compliance audits. Reviews medical record documentation to ... line coders, office staff and physicians. (Facility and Professional coding ), review of denials and rejections including...of denials and rejections including HIM work queues, complex coding issues, and quality initiatives. + Maintains… more
- Hackensack Meridian Health (Hackensack, NJ)
- …transform healthcare and serve as a leader of positive change. The **Inpatient Coding / Quality Educator** designs, delivers and evaluates coding education and ... of the Medical Record, locates information to support or provide specificity for coding . Facilitates improvement in overall quality , completeness and accuracy of… more
- Penn Medicine (Philadelphia, PA)
- …that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician ... future each day. Are you living your life's work? **HIM Inpatient Coding Specialist III** **Corporate Services/ Health Information Management** Job Summary: +… more
- Penn Medicine (Philadelphia, PA)
- …that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician ... future each day. Are you living your life's work? **HIM Inpatient Coding Specialist I** **Corporate Services/ Health Information Management** Job Summary: + Performs… more
- AdventHealth (Orlando, FL)
- …are equally respectful to all. The Senior Coder demonstrates experience and expertise, so coding quality review is not required before billing. The Senior ... interpreting clinical documentation in the medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS- DRG Medicare Prospective Payment System… more
- Texas Health Resources (Arlington, TX)
- ** Coding Quality /Education Inpatient Analyst** _Are you looking for a rewarding career with a top-notch health care company? We're looking for a qualified_ ** ... Coding Quality & Education Inpatient Analyst** _like...DRG methodologies and all regulatory/payer requirements associated with coding . Demonstrated knowledge of and ability to apply THR… more
- Wood County Hospital (Bowling Green, OH)
- … and assignment and abstracting reflective of clinical documentation. Ability to successfully perform coding quality review to validate correct coding ... to various denial cases. Supports the integrity of the coding and accurate reimbursement, quality scores, benchmark...systems to achieve timely and accurate medical record documentation review and analysis. Job Duties: + Provide coding… more
- Glens Falls Hospital (Glens Falls, NY)
- … coding and DRG methodologies. Performs ongoing monitoring for coding quality and consistency and is responsible for knowledge, training, and ... Director, is responsible for compliant, complete and optimal facility coding , and in collaboration with Coding leadership...codes that reflect the acuity of our patient and DRG 's that include all MCC's and CC's for reimbursement.… more