- Penn Medicine (Philadelphia, PA)
- …charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician ... diagnoses, principal procedure, and secondary procedures accurately. Performs analysis of the DRG assigned to produce the highest level of reimbursement to which the… more
- Geisinger (Danville, PA)
- …subsequent review of records every three days to support and assign a working DRG assignment upon discharge. + Formulates queries when it is determined there is ... procedures and completeness of supporting documentation to determine the working and final DRG , severity of illness and risk of mortality. + Acts as a resource… more
- Intermountain Health (Harrisburg, PA)
- …risk of mortality, and quality of care + Performs audits including DRG (Diagnosis Related Groups), ICD-10 CM/PCS (Procedure Classification System), CPT, and PSI ... of medical terminology, medical acronyms, pharmacology, anatomy and physiology and ICD-10-CM/PCS, DRG , and APR- DRG classification systems. + Ability to complete… more
- Datavant (Harrisburg, PA)
- …vision for healthcare. **What We're Looking For:** As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs ... assignment of codes and other coding-related elements using MS DRG or APR DRGs. + Provides rich and concise...CCS (required), RHIA or RHIT preferred + Maintain 95% DRG accuracy rate + Experience with various software including… more
- Datavant (Harrisburg, PA)
- …healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal role in elevating the impact of ... caregivers to ensure appropriate reimbursement and clinical severity for DRG -based payer patients. + Demonstrate understanding of complications, co-morbidities,… more
- Commonwealth of Pennsylvania (PA)
- Drug & Alcohol Case Management Specialist (Local Government) - Delaware County D&A Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5009526) ... Apply Drug & Alcohol Case Management Specialist (Local Government) - Delaware County D&A Salary $48,896.00...Number CS-2025-30000-L0686 Department Local Government Division DA Delaware Co Drg Alchl Abs U Opening Date 07/22/2025 Closing Date… more
- Geisinger (Danville, PA)
- …of care of the patient. The role of the Clinical Documentation Improvement Specialist (CDIS) is to assist the providers with accurately identifying and documenting ... hold one of the following certifications- Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP). + Reviews… more
- Penn Medicine (Philadelphia, PA)
- …8a-4:30p, Remote The Health Information Management (HIM) Clinical Documentation Specialist will oversee organization-wide system for improving clinical documentation ... and/or HIM or related field. 1+ years of Clinical Documentation Improvement (CDI) Specialist and/or coding quality experience 1+ years of CCU/ICU acute care clinical… more
- Organon & Co. (Plymouth Meeting, PA)
- …highly skilled and experienced professional to join our team as the Senior Specialist of Contract and Reimbursement Strategy. This role is essential in developing ... including commercial, Medicare, and Medicaid. Serve as an expert on DRG hospital and provider reimbursement. + **Customer Engagement:** Provide customer-facing… more
- Highmark Health (Harrisburg, PA)
- …II code and modifier assignments, ICD diagnosis and procedure coding, DRG /APC structure according to regulatory requirements. Reports findings both verbally and ... systems, missed secondary diagnoses and procedures and ensures compliance with DRG /APC structure and regulatory requirements. Performs periodic claim form reviews to… more