- Cognizant (Albany, NY)
- …and work collaboratively with stakeholders and teams. **In this role, you will:** + Review ICD-10 inpatient patient records for accuracy and compliance + ... **About the role** As an Inpatient Medical Coding Auditor, you will make an...+ CCS, RHIT or RHIA (AHIMA) certification + APR DRG experience + Minimum of five years of facility-based… more
- Deloitte (New York, NY)
- …nurse, physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, Quality, DRG Validation and health IT ... regarding clinical documentation standards and clinical indicators which drive reimbursement, MS- DRG , APR- DRG , PSIs, HACs, POA, Vizient, Elixhauser, public… more
- Intermountain Health (Albany, NY)
- …Integrity (CDI) Registered Nurses (RN) and Intermountain Physician Advisors to review complex facility encounters and assign International Classification of Diseases ... ICD-10 and Diagnosis Related Groups ( DRG ) codes for claims concurrently while a patient is...reviews while patients are hospitalized. It aids in the review of quality measures including Patient Safety Indicators and… more
- Northwell Health (Staten Island, NY)
- …physician for all coded records. Serves as an onsite resource for both inpatient and outpatient coding issues. Maintains an understanding of both Inpatient ... documentation within the record 8. Works in concert with DRG Validator on ' DRG Assurance' 9. Verifies...productivity and competency levels established for a full time Inpatient Coder 10. ( Inpatient :20 ) Meets productivity… more
- Stony Brook University (Commack, NY)
- …Comorbidities in ICD-10 CM books + Provide education to the CDI staff on the Inpatient Prospective Payment System. + Provide education to the CDI staff on the use of ... chapter. + Provide education to the CDI staff on DRG Expert reviews. Identify surgical DRG 's versus...staff on coding guidance on an ongoing basis. + Review and respond to coding questions. + Work in… more
- Datavant (Albany, NY)
- …should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with ... is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of...Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient… more
- Northwell Health (Garden City, NY)
- …Remote position Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes ... **Req Number** 173239 Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by… more
- Datavant (Albany, NY)
- …+ Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. + Collaborate with ... caregivers to ensure appropriate reimbursement and clinical severity for DRG -based payer patients. + Demonstrate understanding of complications, co-morbidities,… more
- Rochester Regional Health (Rochester, NY)
- …proven leadership and management skills to promote effective and efficient review of physician documentation and the medical record. + Demonstrate knowledge ... program compliance to ensure adherence to all CMS regulations regarding DRG assignment. + Assume responsibility for professional development through participation at… more
- Centene Corporation (New York, NY)
- …to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review , hospital readmission review ... standards. **Education/Experience:** RN Degree. One year experience preferred in hospital inpatient coding. Nursing experience in managed care organization or acute… more