- Banner Health (NV)
- …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
- HCA Healthcare (Las Vegas, NV)
- …goals. You will also verify complete, accurate, and consistent coding and DRG code validation resulting in appropriate reimbursement, data integrity, and minimal ... identified trends, RAC, payer, etc.) for inpatient and/or outpatient coding (eg, DRG /code validation, query validation) + Provides timely feedback and education as… more
- HCA Healthcare (Las Vegas, NV)
- …the appropriate ICD-10-CM and ICD-10- PCS codes. You will perform coding and/or code/ DRG validation across multiple entities. **What you will do in this role:** + ... standards + Utilizes the complete patient medical record documentation in code/ DRG assignment, validation, and/or editing of codes/DRGs + Initiates, reviews, and/or… more
- Baylor Scott & White Health (Carson City, NV)
- …accurate coding. Coding references ensure accurate coding and classification assignment grouping, like MS- DRG , APR- DRG , and APC. The Coder III will abstract and ... enter required data. **Salary and Work Model** + The pay range for this position is $28.52 (entry-level qualifications) - $42.79 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior coding… more
- Datavant (Carson City, NV)
- …reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs. + Provides rich and concise rationale explaining the ... and/or auditing. + CCS (required), RHIA or RHIT preferred + Maintain 95% DRG accuracy rate + Experience with various software including Epic, Cerner, and other… more
- Datavant (Carson City, NV)
- …caregivers to ensure appropriate reimbursement and clinical severity for DRG -based payer patients. + Demonstrate understanding of complications, co-morbidities, ... risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG . + Improve coding specificity by educating physicians and caregivers on the… more
- Baylor Scott & White Health (Carson City, NV)
- …Reviews records to validate diagnoses, procedures, modifiers, APC assignment, and/or DRG . Identifies high-risk areas in coding and documentation practices. + May ... conduct focused quality reviews on HIM coding staff. This is apart from those by the BSWH HIM Audit team. All coding must use official guidelines from AHA Coding Clinic, AMA CPT Assistant, AHA Coding Clinic for HCPCS, and CMS publications. + Provides training… more
- Prime Healthcare (Reno, NV)
- …identify the various types of diagnosis and procedures codes (ICD9, CPT, HCPCS, DRG ) as they relate to reimbursement. Communicates clearly and efficiently by phone ... and in person with clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements. Operates computer to… more
- CVS Health (Carson City, NV)
- …and external). - Must have strong knowledge of claim coding (CPT/ DRG , etc.), provider networks, benefit designs, healthcare products/funding, medical management ... programs and financial acumen. - Relationship management: Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously. - Strategic Thinking:… more
- CenterWell (Carson City, NV)
- …action. The Medical Coding Professional confirms appropriate diagnosis related group ( DRG ) assignments. Analyzes, enters and manipulates database. Responds to or ... clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous… more