- Deloitte (Dallas, TX)
- …regarding clinical documentation standards and clinical indicators which drive reimbursement, MS- DRG , APR- DRG , PSIs, HACs, POA, Vizient, Elixhauser, public ... case manager, clinical documentation specialist, utilization review, informatics RN, Quality, DRG Validation and health IT preferred + Knowledge of Medicare… more
- Molina Healthcare (Dallas, TX)
- …We are seeking a candidate with a RN licensure, Diagnosis-Related Group ( DRG ) experience, 2 years of Utilization Review and/or Medical Claims Review experience. ... Knowledge in coding: DRG , ICD-10, HCPCS codes is highly preferred. Additional experience...claims auditing, QA, or recovery auditing ideally in a DRG /Clinical Validation is a plus. Work hours: Monday -… more
- Baylor Scott & White Health (Dallas, TX)
- …documentation of patient condition and treatment. When appropriate, update working DRG . Promotes and obtains appropriate documentation for any clinical conditions or ... coding opportunities which might include analyzing working versus final coded DRG . Collaboratively works with interdisciplinary teams including, but not limited to… more
- Houston Methodist (Katy, TX)
- …**SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding/ DRG requests. Responds promptly to Business Office requests to code or ... Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS- DRG and APR- DRG assignment, sequencing of diagnoses and procedures,… more
- Humana (Austin, TX)
- …and by ensuring correct claims payment and appropriate diagnosis related group ( DRG ) assignments. Analyzes, enters and manipulates database. Responds to or clarifies ... have held at least one of these qualifications for 4 years) * MS- DRG coding/auditing experience * Experience reading and interpreting claims * Experience in… more
- UTMB Health (Galveston, TX)
- …inpatient ICD-10 coding guidelines and clinical documentation requirements to assign working MS- DRG . + Enter review information and working MS- DRG /APR- DRG 's ... with associated length of stay in the shared information system, and update this information as needed to reflect any changes in the patient's status, procedures, and treatments. + Communicate with providers either through discussion or in writing (eg, formal… more
- The Davey Tree Expert Company (Amarillo, TX)
- …**Additional Locations:** N/A **Work Site:** On Site **Req ID:** 213026 **Position Overview** DRG is looking for a Telecom Foreman who will be responsible for ... with proper safety standards/procedures and work practices according to DRG policy or the customer's special request. + Report...Management is a division of Davey Resource Group, Inc. ( DRG ), a Davey company. Davey has been employee-owned since… more
- Intermountain Health (Austin, TX)
- …of medical terminology, medical acronyms, pharmacology, anatomy and physiology and ICD-10-CM/PCS, DRG , and APR- DRG classification systems. + Ability to complete ... and pass internal coding exam. + Demonstrated proficiency in using coding software, electronic health records, and other health information systems. + Demonstrated excellent communication, interpersonal, and analytical skills + Ability to work independently… more
- Oracle (Austin, TX)
- …requirements for accurate coding. + Practical experience using grouper software for MS- DRG and APR- DRG assignment. + Strong communication skills to interact ... effectively with the billing department regarding coding-related issues. + Stay abreast of the latest ICD-10-CM, ICD-10-PCS, HCPCS/CPT coding guidelines and updates. + Familiarity with 3M 360 or Optum HIM encoder software is preferred. + AHIMA Certified RHIA… more
- Cognizant (Austin, TX)
- …and **3M Encoder** systems. **Preferred Skills** + Advanced understanding of DRG reimbursement methodologies. + Prior experience in high-volume coding environments. ... + DRG grouping **Salary and Other Compensation** : The hourly rate for this position is between **$27.00 - 37.00** per hour, depending on experience and other… more