- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …in inpatient coding or sufficient knowledge of clinical documentation, DRG assignment and clinical conditions and procedures. + Excellent communication (verbal ... apply today. SUMMARY OF JOB The Clinical Documentation Specialist (CDS) performs concurrent review of the medical record to promote the integrity of the clinical… more
- Penn Medicine (Philadelphia, PA)
- …Remote / 150 Monument Rd 4th Floor Bala Cynwyd Hours: M-F, 8a-430p or similar Review coded medical records for coding and DRG and/or Evaluation and Management ... areas: subject focused, purely randomized, CPT-4 Coding, Systemic Monitoring and Review Technology (SMART) audits on 100% flagged records, discharge disposition code… more
- Datavant (Harrisburg, PA)
- …+ 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
- Geisinger (Danville, PA)
- …The core of the program uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to be coded post ... means of finalizing information in the medical record. Job Duties: + Reviews inpatient medical records within 24-48 hours of admission for a specified patient… more
- Guthrie (Troy, PA)
- …through analysis of clinical and financial data, including length of stay and DRG profiling. Education, License & Cert: RN Bachelor of Science degree in Nursing ... of experience in an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or obtaining a Case… more
- Commonwealth of Pennsylvania (PA)
- …future today! DESCRIPTION OF WORK The primary responsibility of this position is to review referrals for substance use inpatient treatment services as well as ... Full-Time Job Number CS-2025-36830-L0686 Department Local Government Division DA Delaware Co Drg Alchl Abs U Opening Date 11/18/2025 Closing Date 12/1/2025 11:59 PM… more
- Geisinger (Danville, PA)
- …the content of the medical record for hospital and professional inpatient records to identify principal diagnosis, secondary diagnoses and procedures performed ... severity and comply with standard provider coding regulations. + Carefully details review of documents such as laboratory findings, radiology reports, various scan… more
- Cardinal Health (Harrisburg, PA)
- …and adequacy of documentation and coding related to physician or hospital ( inpatient and outpatient) billing and/or medical necessity reviews. + Prepares written ... application of Medicare/Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/ DRG /APC documentation coding rules; medical terminology; E/M rules; healthcare… more