- Northwell Health (Garden City, NY)
- …position 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
- 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 (preferred), RHIA or RHIT preferred + Maintain 95% DRG accuracy rate + Experience with various software including Epic, Cerner, and other… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …for workflow enhancements. + Evaluates Prospective Payment System (PPS) (eg APC, DRG , etc.) grouping and pricing information. + Meets individual and departmental ... standards in regards to quality and productivity. + Strong organizational, analytical and writing skills. + Excellent verbal and communication skills. + Maintain good working relationships within and outside of the department. + Provides expertise and… more
- Datavant (Albany, NY)
- …you to help shape the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma Level 1 facility. SMART software ... medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …discussions with Medical Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new clinical staff, as needed. + Mentors (to others ... + Knowledge of medical record coding conventions (eg CPT, DRG , HCPCS, ICD10, etc.). + A general understanding of...and commercial products (eg, Medicare, Medicaid, CPT, HCPCS, ICD10, DRG , APC, RBRVS, etc.). + Extensive experience with claims… more