• Regulatory Compliance Manager - Hybrid/Remote

    University of Utah (Salt Lake City, UT)
    …Medicare Parts A and B), and ICD -10, CPT , HCPCS , DRG coding; proficient with word processing, spreadsheet and related computer applications; demonstrated human ... Medicare Parts A and B), and ICD -10, CPT , HCPCS , DRG coding; proficient with word processing, spreadsheet and related computer applications; demonstrated human… more
    University of Utah (01/07/26)
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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 ... and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. a { text-decoration: none;… more
    UPMC (01/07/26)
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  • Nurse Auditor 2

    Humana (Madison, WI)
    …For example: ICU, CCU, PCU, med-surg/adult units or a minimum of 2 years DRG Inpatient auditing. NOTE: Inpatient experience does **not** refer to any other levels of ... CIC) + ​Inpatient coding claim experience + Prospective payment methodologies, DRG auditing experience + Clinical documentation improvement knowledge (CDE, CDEI… more
    Humana (01/06/26)
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  • Inpatient Medical Coder (Remote) - CCS Certified

    Cognizant (Albany, NY)
    …and **3M Encoder** systems. **Preferred Skills** + Advanced understanding of DRG reimbursement methodologies. + Prior experience in high-volume coding environments. ... + DRG grouping **Salary and Other Compensation** : The hourly rate for this position is between **$27.00 - 37.00** per hour, depending on experience and other… more
    Cognizant (01/06/26)
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  • Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    …data for: capture of severity, acuity and risk of mortality and DRG assignment. Facilitate, mentor, and educate physicians regarding payer requirements, ICD coding ... guidelines (eg, co-morbid conditions, severity, acuity, risk of mortality), DRG assignments, and documentation on patient records. + Actively participate in hospital… more
    Mohawk Valley Health System (01/06/26)
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  • Clinical Specialist III, DBS

    Abbott (Houston, TX)
    …(TM) XR SCS System, the #1 Spinal cord stimulator on the market, Proclaim (TM) DRG Neurostimulator, the only FDA approved DRG therapy and a market leader in ... radiofrequency ablation therapy, Abbott RFA. These non-opioid therapies allow us to provide interventional pain therapy to patients throughout the pain continuum. Our deep brain stimulation technology for progressive diseases help people manage their… more
    Abbott (01/06/26)
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  • Experienced Inpatient Medical Record Coder

    Stony Brook University (Commack, NY)
    …ICD-10CM-PCS diagnostic and procedural codes for designated service lines. Working knowledge of MS- DRG and NYS APR DRG grouping logic to accurately reflect the ... diagnosis, procedures documented in the medical record. Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements. + Other duties as assigned. **Qualifications** **Required:** + Associate's… more
    Stony Brook University (01/05/26)
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  • Remote Medical Coder

    TEKsystems (Dallas, TX)
    …like for everyone to have experience in emergency services, inpatient coding, or DRG (diagnosis-related group) coding. This would allow them to understand what they ... Coding Specialist CCS) Experience or exposure to inpatient coding, emergency services coding or DRG Coding Awareness of HIPAA Job Type & Location This is a Contract… more
    TEKsystems (01/05/26)
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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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