- Banner Health (CA)
- …quality in the Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from you. **Requirements:** + **5 ... facility-based medical coding (clearly reflected in your attached resume);** + ** DRG and PCS Coding, Auditing experience;** + **Bachelors degree or equivalent;**… more
- Elevance Health (Walnut Creek, CA)
- **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work virtually ... and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**...minimum of 5 years of experience working with ICD-9/10CM, MS- DRG , AP- DRG and APR- DRG ; or… more
- Humana (Sacramento, CA)
- …expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG, APR- DRG , MS- DRG , etc). This role is within the Integrated Network ... for hospitals and facilities + Developing expertise in complex groupers (EAPG, APR- DRG , MS- DRG , etc) utilized in Medicaid reimbursement + Reviewing Medicaid… more
- Sharp HealthCare (San Diego, CA)
- …all diagnoses and procedures, including co-morbidities and complications, sequenced, and grouped ( DRG 's, MS- DRG 's and APC's) as mandated. Uses the most accurate ... and/or complication codes (cc's) to obtain the accurate severity level ( DRG 's, MS- DRG 's and APC).Assures that documentation is present and complete in order… more
- Highmark Health (Sacramento, CA)
- …II code and modifier assignments, ICD diagnosis and procedure coding, DRG /APC structure according to regulatory requirements. Reports findings both verbally and ... systems, missed secondary diagnoses and procedures and ensures compliance with DRG /APC structure and regulatory requirements. Performs periodic claim form reviews to… more
- Cedars-Sinai (Beverly Hills, CA)
- …development of staff. **Department-Specific Responsibilities** + Manage Disease Research Group ( DRG ) Meetings: Lead and coordinate DRG meetings, ensuring that ... all necessary information is addressed to support DRG functions. Maintain regular communication with DRG faculty to ensure alignment with DRG needs and… more
- Guidehouse (Escondido, CA)
- …Reviews daily admissions to assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial and follows up case ... reviews (or worksheet to include code and DRG assignment) and submit to Program Assistant. + Updates...assignment) and submit to Program Assistant. + Updates "working DRG " as documentation supports, or physician query answer supports… more
- Taco Bell (El Cajon, CA)
- The minimum/maximum for this position is $22 per hour! DRG is looking for energized and motivated individuals who want to work for a fast growing company, with tons ... Every person that works here is part of the DRG Family! What started as a 30-unit Taco Bell...has since grown into a 240+ unit, multi-brand operation. DRG currently operates Taco Bell restaurants in California, Kansas,… more
- Taco Bell (El Cajon, CA)
- The minimum/maximum for this position is $20 per hour! DRG is looking for energetic, enthusiastic individuals to join our team as Team Members! A Team Member is ... Every person that works here is part of the DRG Family! What started as a 30-unit Taco Bell...has since grown into a 240+ unit, multi-brand operation. DRG currently operates Taco Bell restaurants in California, Kansas,… more
- Taco Bell (San Diego, CA)
- The minimum/maximum for this position is $24 per hour! DRG is looking for a Dynamic and Experienced Leader who wants to work for a fast growing company, with tons of ... Every person that works here is part of the DRG Family! What started as a 30-unit Taco Bell...has since grown into a 240+ unit, multi-brand operation. DRG currently operates Taco Bell restaurants in California, Kansas,… more