- Garnet Health (Middletown, NY)
- …knowledge of, but not limited to, Official Coding Guidelines and methodologies. MS- DRG 's, APR- DRG 's, APCs' and Clinical Documentation guidelines for hospital ... facilities. Advanced knowledge of NCCI edits and proper modifier usage. Required Certification/Registration: Certified Credentialed Coder (CCS) required at the time of hire or transfer. Must keep CE credits current for CCS. Physical Requirements: Working… more
- Mount Sinai Health System (New York, NY)
- …to the documented diagnoses, procedures, and treatments, and calculates the appropriate DRG groupings. The coded clinical data is utilized for the continued ... clinical documentation. 6. Timely reconciliation of all cases, to include accurate recording of DRG or SOI impact based on query, as well as response to all queries.… more
- Northwell Health (New York, NY)
- …identify COB, Worker's Compensation, No-Fault, and Subrogation conditions + Validates DRG grouping and (re)pricing outcomes presented by the claims processing ... + Knowledge of Provider Contracting + Knowledge of CPTs, ICD 9/ICD 10, HCPC, DRG , Revenue, RBRVS + Proficiency in MS Excel, Word, PowerPoint, and experience using a… more
- Datavant (Albany, NY)
- …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
- Baylor Scott & White Health (Albany, NY)
- …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 (Albany, NY)
- …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
- Nuvance Health (Poughkeepsie, NY)
- …coding at minimum accuracy rate of 95% * Apply knowledge of MS DRG and APR DRG assignment, Official Coding guidelines, Comorbidity/complication coding, HAC ... Conditions, accurate POA assignment and current AHA coding clinic guidelines * Effectively and professionally communicate with Physicians to clarify the diagnoses for accurate DRGs and severity of illness * Ability to code using either 3M 360 encoder or… more
- Northwell Health (Garden City, NY)
- …Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates ... codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the coding and CDI staff. 8.Identifies… more
- Mohawk Valley Health System (Utica, NY)
- …data for: capture of severity, acuity and risk of mortality and DRG assignment. Facilitate, mentor, and educate physicians regarding payer requirements, ICD coding ... guidelines (eg, co-morbid conditions, severity, acuity, risk of mortality), DRG assignments, and documentation on patient records. + Actively participate in hospital… more
- Centene Corporation (New York, NY)
- …and conducting training and quality auditing programs for the Diagnosis Related Group ( DRG ) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding ... **Education/Experience:** Associate's degree in Nursing or equivalent experience. 4+ years of DRG and/or Medical Record Audit experience. One year of experience in a… more