- HonorHealth (AZ)
- …upon admission and concurrently throughout the admission. Essential Functions Reviews clinical documentation and facilitates modifications (as needed) to ensure ... urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization,… more
- AdventHealth (Altamonte Springs, FL)
- …relationships across multiple disciplines to achieve common goals. + Collaborates with the Clinical Documentation team as it relates to coding processes. + ... Quality review team to review variances and establish criteria/guidelines for improved documentation consistent with clinical definitions and compliant with CMS… more
- Houston Methodist (TN)
- …assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with ... correctly in the medical record abstracting system. + Reviews medical record documentation and abstracts data into the encoder and Electronic Health Record (EHR)… more
- Billings Clinic (Billings, MT)
- …of service for pharmacy items and supplies. Queries physicians to clarify clinical documentation . Educates physicians either concurrently or after-the-fact on ... coding and documentation and serves as an on-site resource for providers...for providers and staff. Calculates the MSDRG and APR- DRG . Ensures adherence to all Billings Clinic and regulatory… more
- WellSpan Health (Chambersburg, PA)
- …for the purposes of compliance with regulations, data and statistical compilation, clinical research, clinical care analysis and optimal reimbursement. Essential ... with departmental goals for coding turnaround. 5. Selects the most accurate DRG for each inpatient account, maintaining compliance based on approved coding… more
- Saint Luke's (Kansas City, MO)
- **Job Description** **The Opportunity:** Review medical record documentation of lower acuity **inpatients** to assign appropriate ICD-10-CM, ICD-10-PCS, and DRG ... determine first listed diagnosis, secondary diagnoses, and surgical procedures. Analyze documentation and abstract pertinent data. Must maintain minimum quality and… more
- Albany Medical Center (Albany, NY)
- …+ Assist with educating providers, clinicians, and others by advocating proper documentation practices and further specificity for both diagnoses and procedures when ... including participating in the development of query policies that support documentation improvement and meet regulatory, legal, and ethical standards for coding… more
- Henry Ford Health System (Southfield, MI)
- …from patient records. Assigns the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common ... codes, creating Ambulatory Patient Classification (APC) or Diagnosis-Related Group ( DRG ) assignments.| Obtains acceptable productivity/quality rates as defined per… more
- Henry Ford Health System (Farmington Hills, MI)
- …from patient records. Assigns the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common ... codes, creating Ambulatory Patient Classification (APC) or Diagnosis-Related Group ( DRG ) assignments. + Obtains acceptable productivity/quality rates as defined per… more
- Houston Methodist (WA)
- …procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with ... correctly in the medical record abstracting system. + Reviews medical record documentation and abstracts data into the encoder and EPIC/Electronic Health Record… more