- Datavant (Nashville, TN)
- …healthcare. + **What We're Looking For** We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate ... coding accuracy rate and a 95% accuracy rate for MS- DRG assignments + Maintain site-specific productivity benchmarks + Foster...to Succeed:** + A minimum of 3 years of inpatient coding facility experience + CCS, RHIT, or RHIA… more
- Cognizant (Nashville, TN)
- …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
- Houston Methodist (TN)
- …accuracy in code assignment of diagnosis and procedure to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while ... rules and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional… more
- Deloitte (Nashville, TN)
- …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 (Nashville, TN)
- …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
- Covenant Health Inc. (Knoxville, TN)
- …records, the accuracy of documentation, and the appropriate assignment of a final DRG . The CDI Specialist functions as a resource for clinical staff and other ... discharge planning of patients. In order to assure appropriate DRG assignment and the validity and reliability of the...of the case-mix index, CDI is accountable for concurrent review of health records, reviewing documentation that supports the… more
- Covenant Health Inc. (Knoxville, TN)
- …medical record, the accuracy of documentation, and the appropriate assignment of a final DRG . The CDI Specialist functions as a resource for clinical staff and other ... care and discharge planning of patients. To assure appropriate DRG assignment and the validity and reliability of the...of the case-mix index, CDI is accountable for concurrent review of health records, reviewing documentation that supports the… more
- Datavant (Nashville, TN)
- …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
- Ansible Government Solutions (Memphis, TN)
- …consistent with ICD-10 CM code sets + Participate in reconciliation activities to review discrepancies in code or MS- DRG assignments + Conduct program evaluation ... customers' success as if it is their own. Duties and Responsibilities + Review and analyze health records to identify documentation improvement opportunities in both… more
- Datavant (Nashville, TN)
- …+ 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