- Zelis (NJ)
- …this role is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the ... savings achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA… more
- UTMB Health (Galveston, TX)
- Senior DRG Coder - RCO Coding **Galveston,...and three years of experience. The Sr . DRG coder must be proficient in inpatient coding ... coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG options.… more
- UTMB Health (Galveston, TX)
- Senior DRG Coder - RCO Coding...all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical ... related experience. **Preferred Qualifications:** + Three (3) years of experience in DRG and/or PCS coding. + Experience with communicating, training, and educating… more
- HCA Healthcare (Nashville, TN)
- …personal growth, we encourage you to apply for our Coding Quality Audit Reviewer opening. We promptly review all applications. Highly qualified candidates will ... purpose and integrity. We care like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **Benefits** Parallon offers a total rewards… more
- University of Southern California (Alhambra, CA)
- …documentation needed to facilitate accurate and complete coding, abstracting, and DRG assignments. Participate in responses to inquiries regarding coding and ... 95% accuracy rate as determined by an annual external review of coding. + ABSTRACTING AUDITING * Performs monthly...all 1st and 2nd level coding-related denial appeals. * Inpatient coding of all diagnostic and procedural information from… more
- Centene Corporation (New York, NY)
- …to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review , hospital readmission review ... standards. **Education/Experience:** RN Degree. One year experience preferred in hospital inpatient coding. Nursing experience in managed care organization or acute… more
- WMCHealth (Valhalla, NY)
- Senior Inpatient Coder Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/31159) Internal Applicant link Job Details: Job Summary: The Senior Inpatient Coder is responsible for addressing… more
- HCA Healthcare (Nashville, TN)
- …organizations. Apply Today! **Job Summary and Qualifications** As a work from home Inpatient Coding Specialist, you will review and evaluate hospital ... provides satisfaction and personal growth, we encourage you to apply for our Inpatient Coding Specialist opening. We promptly review all applications. Highly… more
- HCA Healthcare (Miami, FL)
- …this opportunity compelling, we encourage you to apply for our Acute Care Inpatient Coding Specialist opening. We promptly review all applications. Highly ... recognized. Submit your application for the opportunity below: Acute Care Inpatient Coding Specialist Parallon **Benefits** Parallon offers a total rewards package… more
- Tufts Medicine (Burlington, MA)
- **Job Title:** Inpatient Coding Specialist (Coder III) **Hours:** 40 hours per week. Monday through Friday. **Location:** 100% remote. **Job Profile** **Summary** ... in the delivery of support services or activities, typically under supervision. A senior level role that requires broad knowledge of operational procedures and tools… more
- WellSpan Health (Chambersburg, PA)
- …accordance with departmental goals for coding turnaround. 5. Selects the most accurate DRG for each inpatient account, maintaining compliance based on approved ... as a medical coder for the Health Information Management Department to review , retrieve, collect, and assign appropriate ICD-10-CM diagnoses codes and ICD-10-PCS or… more
- Penn Medicine (Lititz, PA)
- …compliance with regulations, and accuracy for clinical care analysis and provider profiling. Review coded medical records for coding and DRG accuracy by ... + Position Summary: : Codes and abstracts information from inpatient and outpatient records by careful analysis and adherence...cross training to existing staff as needed. + Research, review and respond to coding and coding quality issues… more
- Geisinger (Danville, PA)
- …The core of the program uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to be coded post ... healthcare services provided to the patient. This is accomplished with the recognition of complete and accurate diagnoses, procedures performed, and the treatment… more
- Albany Medical Center (Albany, NY)
- …Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, ... education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI.… more
- Houston Methodist (Sugar Land, TX)
- …DRG recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for...Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and… more
- Deloitte (Los Angeles, CA)
- …nurse, physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, Quality, DRG Validation and health IT ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and… more
- Geisinger (Danville, PA)
- …The core of the program uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to be coded post ... provided to the patient. This is accomplished with the recognition of complete and accurate diagnoses, procedures performed, and...BSN is strongly preferred. Job Duties: + Reviews inpatient medical records within 24-48 hours of admission for… more
- Stony Brook University (Commack, NY)
- …Comorbidities in ICD-10 CM books + Provide education to the CDI staff on the Inpatient Prospective Payment System. + Provide education to the CDI staff on the use of ... chapter. + Provide education to the CDI staff on DRG Expert reviews. Identify surgical DRG 's versus...staff on coding guidance on an ongoing basis. + Review and respond to coding questions. + Work in… more
- Ascension Health (Indianapolis, IN)
- …is a great fit for RNs with current or previous inpatient Clinical Documentation Integrity or Clinical Documentation Specialist experience. **Benefits** Paid ... assign a working Diagnosis Related Group. Ensure the working DRG and other information are entered in the Clinical...prior to patient's discharge. + Maintain accurate records of review activities, ensuring reports and outcomes of CDI efforts… more
- Texas Health Resources (Arlington, TX)
- …Evaluate the effectiveness of internal controls and compliance procedures. Coding & Documentation Review - Assist the audit team with inpatient , outpatient, and ... best practices for areas vulnerable to compliance errors. Denial Support & Case Review - Conduct additional reviews to assist departments handling Medicare, OIG, or… more