• Clinical Documentation Integrity Liaison

    Memorial Sloan-Kettering Cancer Center (New York, NY)
    …CCDS, RHIA, RHIT) highly valued + Experience with ICD-10-CM/PCS coding/ DRG assignmentpreferred + Strong collaboration, communication, and education/training skills ... clinical and non-clinical groups + 2+yearsexperienceininpatientclinical documentationintegrityand ICD-10-CM/PCS coding/ DRG assignment + ACDIS Certified Clinical Documentation Specialist (CCDS)… more
    Memorial Sloan-Kettering Cancer Center (01/03/26)
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  • Director, Clinical Documentation Improvement…

    Rochester Regional Health (Rochester, NY)
    …program compliance to ensure adherence to all CMS regulations regarding DRG assignment. + Assume responsibility for professional development through participation at ... of the CDI program. + Demonstrates extensive knowledge of reimbursement systems (MS- DRG ), as well as federal, state and payer-specific regulations and policies… more
    Rochester Regional Health (01/03/26)
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  • Coder III - Inpatient

    Avera (Sioux Falls, SD)
    …line and code those types as needed. + Focused on determining the appropriate DRG based on insurance and/or medical coding for inpatient charts or other charts as ... staff to ensure a full capture of the clinical record for appropriate DRG classification and/or medical coding. + Assist with the training of new employees… more
    Avera (01/02/26)
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  • Coding Spec-Clinic

    Covenant Health Inc. (Knoxville, TN)
    …Educates coding staff to proper documentation necessary to support a DRG /APC/Medical Necessity/ROM/SOI. + 13 Integrates documentation, coding, and proper oversight ... information to supervisor related to inaccurate and/or missing documentation. + Reviews DRG /APC classifications and educates to maximize level of care assignment for… more
    Covenant Health Inc. (01/01/26)
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  • HIM Hospital ER Coding Analyst

    Intermountain Health (Phoenix, AZ)
    …of medical terminology, medical acronyms, pharmacology, anatomy and physiology and ICD-10-CM/PCS, DRG , and APR- DRG classification systems. + Ability to complete ... and pass internal coding exam. + Demonstrated proficiency in using coding software, electronic health records, and other health information systems. + Demonstrated excellent communication, interpersonal, and analytical skills + Ability to work independently… more
    Intermountain Health (12/31/25)
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  • Clinical Documentation Specialist Auditor -…

    UNC Health Care (Chapel Hill, NC)
    …severity of illness, and risk of mortality. Assures accurate assignment of Working MS- DRG , ICD-10-CM/PCS codes and CPT codes in accordance with the Official Coding ... * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding, MS DRG , hierarchical condition categories (HCC), and CDI documentation processes. Ability to… more
    UNC Health Care (12/31/25)
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  • Business Intelligence Specialist _ Health…

    Northwell Health (New Hyde Park, NY)
    …preferred + Claims experience, understanding claims reimbursement/payment methodologies eg DRG , Case Rate, % of Medicare/Charges and medical billing codes ... eg, DRG , CPT, HCPCS, Revenue Codes, Bill Types, etc. preferred + Ability to pull data via SQL preferred. Any additional tools, languages are a plus eg R, Python,… more
    Northwell Health (12/31/25)
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  • Coder II - Technical

    UPMC (Pittsburgh, PA)
    …sequenced in order of their clinical significance to accurately assign the appropriate DRG /APC/ASC or payment tier under the Prospective Payment system or DSM IV ... documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. High School or GED… more
    UPMC (12/30/25)
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  • Senior Analyst, Network Strategy, Pricing…

    Molina Healthcare (New York, NY)
    …predictive modeling, etc. + Experience with industry standard normalization/reimbursement methodologies (APR- DRG , MS- DRG , EAPG, APC) To all current Molina ... employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. \#PJHPO… more
    Molina Healthcare (12/28/25)
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  • Clinical Documentation Spec 1 / HIM Clinical…

    Hartford HealthCare (Farmington, CT)
    …with inpatient coders to determine appropriate Diagnosis Related Groups (MS- DRG , APR-DRGs, etc.) and ICD-10 code assignment for compliance, reimbursement, ... impact of CC/MCC's and other variables on the assignment of the various DRG methodologies. . Must be able to function independently. . Solid analytical capabilities.… more
    Hartford HealthCare (12/27/25)
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