- Banner Health (WA)
- …quality in the Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from you. **Requirements:** + **5 ... facility-based medical coding (clearly reflected in your attached resume);** + ** DRG and PCS Coding, Auditing experience;** + **Bachelors degree or equivalent;**… more
- Molina Healthcare (Spokane, WA)
- …+ Identifies and reports quality of care issues. + Assists with Complex Claim review including DRG Validation, Itemized Bill Review , Appropriate Level of ... DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level… more
- Houston Methodist (WA)
- …of clinical documentation. This position analyzes medical records for DRG 's, complications, and comorbidities; identifies trends; and notes observations and ... and follows up as necessary. Tracks responses and trends completion of DRG /Documentation worksheets as pertinent to scope of department. + Conducts follow-up reviews… more
- Elevance Health (Seattle, WA)
- …clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will ... improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS- DRG , AP- DRG and APR- DRG ; or any combination of education and experience,… more
- Houston Methodist (WA)
- …rules and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional ... duties include participating in quality review and performance improvement projects throughout the department and/or facility. **PEOPLE ESSENTIAL FUNCTIONS** +… more
- Datavant (Olympia, WA)
- …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 (Olympia, WA)
- …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
- University of Washington (Seattle, WA)
- …results of internal audits and partner with Compliance on external audit education + Review DRG and CPT claim denials for commercial payers and maintain written ... an expert in Inpatient coding , respond to general coding questions (ICD, DRG , CPT and HCPCS), engage in the development and/or implementation of audit/monitoring… more
- University of Washington (Seattle, WA)
- …culture. + Performs daily activities related to of abstract Diagnosis Related Group ( DRG ) coding and billing + Analyzes the medical record to assign International ... and ICD-PCS codes using 3M computer assisted coding (CAC) to compute the final DRG assignment to diagnoses and procedures in an integrated system to ensure the… more
- Datavant (Olympia, WA)
- …+ 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