- Zelis (Plano, TX)
- Position Overview : The Manager , DRG Validation of the Expert Claims Review (ECR) department is responsible for daily operations and team management of the ... DRG product. The Manager , DRG Validation will be primarily responsible for the oversight of DRG validation reviews to ensure accurate and… more
- The Mount Sinai Health System (New York, NY)
- The purpose of DRG validation is to confirm that diagnostic, procedural information, and the discharge status of the beneficiary, as coded and reported by the ... CRM works in conjunction with the Associate Director and Director of DRG Validation to help develop coding education and training and institutional coding… more
- Crouse Hospital (Syracuse, NY)
- …required and one of the following certifications: CCS/RHIT/RHIA. Approximately 2 years coding and or DRG validation experience in an acute care setting required. ... The DRG Coding Specialist works under the Coding Manager and oversees compliance with coding standards and regulations. Advises and assists in improvement plans… more
- Marshfield Clinic (Ladysmith, WI)
- …concerns and DRG assignments + Assists in the preparation of responses to DRG validation requests and other third party payer inquiries related to coding and ... Uniform Hospital Discharge Data Set (UHDDS) and assignment of the appropriate MS- DRG (Medicare Severity-Diagnosis Related Group) or APR- DRG (All Patients Refined… more
- Tidelands Health (Murrells Inlet, SC)
- …point of contact for CDI and other team members when the supervisor/ manager is not available. **Position Responsibilities & Functions** + Assigns and sequences ... and Risk of Mortality (ROM), best Diagnostic Related Group ( DRG ) outcome, and accurate assignment of present on admission...Integrity (CDI) team as part of the clinical documentation validation , to provide the most accurate and complete diagnoses.… more
- Beth Israel Lahey Health (Boston, MA)
- …America) Job Summary: Under general supervision of the Director of Coding and Validation , the Coding Validator II is responsible for performing quality reviews on ... medical records to validate the ICD-10-CM and ICD-10-PCS codes, DRG appropriateness, missed secondary diagnoses and procedures, and ensure compliance and accuracy of… more