- Banner Health (FL)
- …prior to claim submission; to identify possible opportunities for improvement of clinical documentation and accurate MS- DRG , Ambulatory Payment ... Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from...SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care… more
- Elevance Health (Tampa, FL)
- …responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes ... management for the auditing concept, valid claim identification, and documentation purposes (eg, letter writing). + Identifies new claim...: + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting… more
- Houston Methodist (FL)
- At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical ... + Demonstrates knowledge of DRG payor issues, optimization strategies, clinical documentation requirements and referral policies and procedures. Requests… more
- AdventHealth (Altamonte Springs, FL)
- …Manager, and in collaboration with physicians, nursing and HIM coders, the Clinical Documentation Specialist (CDS) strategically facilitates and ... staff and collaborates with them to resolves discrepancies with DRG assignments and other coding issues. . Completes well-timed...at the time of graduation and . CCDS (Certified Clinical Documentation Specialist ) certification, or/and… more
- AdventHealth (Tampa, FL)
- …work plan. **The val** **ue youll bring to the team:** Ensures competency of Clinical Documentation Specialist staff by conducting on-going reviews and ... for the CDI program. Develops/utilizes educational programs to keep the Clinical Documentation Specialist /physicians/service lines/advisor up to date… more
- Elevance Health (FL)
- …Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified ... is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs...as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or… more
- Intermountain Health (Tallahassee, FL)
- …levels, providers, clinical staff, compliance and the CDI team. + Audits clinical documentation and coding for complex internal and external coding questions ... provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical staff. This Coordinator serves as a subject matter expert for all… more
- AdventHealth (Orlando, FL)
- …The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in the medical record, applying appropriate ICD-10-CM/PCS ... coding conventions and MS- DRG Medicare Prospective Payment System requirements. Actively participates in...codes is based on and supported by the physician's clinical documentation contained within the record. .… more
- Highmark Health (Tallahassee, FL)
- … techniques, medical terminology and disease processes as it relates to the DRG /APC and other clinical data quality management factors. With technical direction ... Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier… more
- Houston Methodist (FL)
- …the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS- DRG and APR- DRG ... diagnosis and procedure to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with… more