- Banner Health (LA)
- …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
- Houston Methodist (LA)
- 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
- Intermountain Health (Baton Rouge, LA)
- …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
- Highmark Health (Baton Rouge, LA)
- … 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 (LA)
- …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
- Veterans Affairs, Veterans Health Administration (Shreveport, LA)
- …certification is required for all positions above the journey level; however, for clinical documentation improvement specialist assignments, a clinical ... AHIMA or AAPC. (2) Mastery Level Certification through AHIMA or AAPC. (3) Clinical Documentation Improvement Certification through AHIMA or ACDIS. NOTE: Mastery… more
- Banner Health (LA)
- …stringent than most national standards identified. Quality standards are set at a DRG accuracy rate of 95% or higher among other quality measures. Meeting Accounts ... on inpatient records using ICD CM and PCS coding classification systems. Completes MS- DRG and APR- DRG assignments on inpatient records as appropriate. Ensures… more
- Houston Methodist (LA)
- …assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with ... correctly in the medical record abstracting system. + Reviews medical record documentation and abstracts data into the encoder and Electronic Health Record (EHR)… more