- Centene Corporation (New York, NY)
- …to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital ... standards. **Education/Experience:** RN Degree. One year experience preferred in hospital inpatient coding. Nursing experience in managed care organization or acute… more
- Datavant (Albany, NY)
- …allowing you to help shape the future of healthcare from your own workspace! Seeking Inpatient Auditor proficient in MS- DRG and APR- DRG **What You Will Do:** ... to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in...making + Strong organizational, teamwork, and leadership skills Seeking Inpatient Auditor proficient in MS- DRG and APR-… more
- Datavant (Albany, NY)
- …life experiences to realize our bold vision for healthcare. As an ** Inpatient Auditing Specialist** you will be instrumental in addressing consulting and educational ... shape the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a...utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC records to… more
- Stony Brook University (Commack, NY)
- …education training for new employees. + Assess and provide feedback to each coder on their work performed. + Development of reinforcement training for existing staff ... + Provide education to the CDI staff on the Inpatient Prospective Payment System. + Provide education to the...chapter. + Provide education to the CDI staff on DRG Expert reviews. Identify surgical DRG 's versus… more
- Molina Healthcare (Albany, NY)
- …of services provided, length of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct coding, ... care issues. + Assists with complex claim review including diagnosis-related group ( DRG ) validation, itemized bill review, appropriate level of care, inpatient … more
- Mount Sinai Health System (New York, NY)
- …accuracy, regulatory compliance, revenue integrity, and operational efficiency for both inpatient and outpatient services. The Senior Director will lead a ... Operational Oversight - Direct daily operations of coding teams for inpatient , outpatient, and professional services. - Oversee coding workflows, audit response,… more
- Kaleida Health (Buffalo, NY)
- …is responsible for coding, including, but not limited to any type of inpatient /or outpatient medical records for the purpose of data quality, accurate reimbursement, ... CCS certification is preferred as a Kaleida requirement. Certified Professional Coder (CPC)-grandfathered employees without HIM/Medical Records degrees who have this… more