- Albany Medical Center (Albany, NY)
- …for detailed reviews, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. They ... through participation in a variety of educational offerings, and review of current literature in paper and electronic form....command of the ICD-10-CM/PCS and CPT4 classification systems and DRG , APC and APG methodology. + Experience working with… more
- Catholic Health Services (Bethpage, NY)
- …Educate staff, physicians, patients, and families in the case management process. Review new admissions and continued stay patients to determine whether MCG criteria ... is met. Engage physicians to establish the optimal DRG , length of stay and expected date of discharge....for reviews in a timely fashion to avoid denials. Review records and collaborate with the interdisciplinary team to… more
- Datavant (Albany, NY)
- …+ Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS- DRG assignments + Maintain a minimum production of 1 chart per hour or site-specific ... protected status. To learn more about our commitment, please review our EEO Commitment Statement here (https://www.datavant.com/eeo-commitment-statement) . Know Your… more
- CenterWell (Albany, NY)
- …action. The Medical Coding Professional confirms appropriate diagnosis related group ( DRG ) assignments. Analyzes, enters and manipulates database. Responds to or ... post-visit reviews. (Frequency and sampling methodology to be determined) + Review the encounter for potential missed opportunities. + Address nonbillable services… more
- Northwell Health (Lake Success, NY)
- …clinical documentation in the patient's medical record through a concurrent review process throughout the patient's inpatient stay. 4.Requests clarification of ... coding questions. 8.Demonstrates knowledge of ICD-10 CM and ICD-10 PCS coding, MS- DRG and APR NY and APR National grouper logic, documentation opportunities,… more
- Guthrie (Binghamton, NY)
- …through analysis of clinical and financial data, including length of stay and DRG profiling. Education, License & Cert: BSN Bachelor Degree: RN Bachelor of Science ... of experience in an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or obtain a Case… more
- Insight Global (Lake Success, NY)
- …and coding requirements. The specialist demonstrates expertise in ICD-10 coding and DRG logic, reconciles case reviews, and maintains audit tracking systems. They ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills… more
- University of Rochester (Rochester, NY)
- …accordance with applicable coding rules and policies (eg ICD-10, CPT-4, HCPCS, DRG ). Analyzes, enters and manipulates database. Responds to or clarifies internal ... - Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M,… more
- Humana (Albany, NY)
- …Inpatient Medical Coding Professional confirms appropriate diagnosis related group ( DRG ) assignments. Analyzes, enters and manipulates database. Responds to or ... objectives and approaches to assignments. + Reviewing staff monthly QA review variances + Daily inventory monitoring and assignment of escalated inventory… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for the review and coding of inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding guidelines ... care hospital Proficiency in the use of automated coding and DRG /AOC grouping software. **Licensing and Certification Requirements (if applicable)** Name: Certified… more