- Banner Health (TN)
- …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 (Nashville, TN)
- …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 (TN)
- 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
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Documentation Integrity Specialist Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... accuracy of documentation , and the appropriate assignment of a final DRG . The CDI specialist functions as an onsite resource for clinical staff and other… more
- HCA Healthcare (Nashville, TN)
- …requirements. _HSC Escalation:_ + Using critical thinking skills, independent discretion, clinical judgement, Official Coding Guidelines, DRG Classification, and ... you want to join an organization that invests in you as a CDI Reconciliation Specialist ? At HCA Healthcare you come first. HCA Healthcare has committed up to $300… more
- Elevance Health (Nashville, TN)
- …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 (Nashville, TN)
- …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
- HCA Healthcare (Nashville, TN)
- …to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our...What you will do in this role: + Analyzes documentation to support codes/DRGs and abstracted data (eg, discharge… more
- Highmark Health (Nashville, TN)
- … 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 (TN)
- …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
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