- Dignity Health (Rancho Cordova, CA)
- …process when coding, as needed + Utilize technical coding principals and MS- DRG reimbursement expertise to assign appropriate ICD-10- CM diagnoses and ICD- IO-PCS ... (PSI) following, report through established procedures. + Collaborate in the DRG Mismatch process with the Clinical Documentation Improvement team. + Review… more
- Baylor Scott & White Health (Hagatna, GU)
- …references will be used to ensure accurate coding and grouping of classification assignment (eg, MS- DRG , APR- DRG , APC etc.) + The Coder 2 will abstract and enter ... required data. **ESSENTIAL FUNCTIONS OF THE ROLE** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable… more
- Cedars-Sinai (Beverly Hills, CA)
- …research with Phase I investigators and the Neuro-Oncology Disease Research Group ( DRG ). This position offers the opportunity to collaborate closely with a ... RNC II will also contribute to the ongoing success of the Neuro-Oncology DRG , helping drive meaningful research that impacts patient outcomes. The Research Nurse… more
- Datavant (Little Rock, AR)
- …caregivers to ensure appropriate reimbursement and clinical severity for DRG -based payer patients. + Demonstrate understanding of complications, co-morbidities, ... risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG . + Improve coding specificity by educating physicians and caregivers on the… more
- CommonSpirit Health (Englewood, CO)
- …and quality care management. + Understands the intricacies of ICD-9-CM, ICD-10-CM/PCS, MS- DRG , APR- DRG , and the Medicare Inpatient Prospective Payment System ... (IPPS) to make medical determinations on severity of illness, acuity, risk of mortality, and communicate with treating physicians in cooperation with the utilization team and health information personnel. + **Conducts peer-to-peer reviews with payer medical… more
- Ansible Government Solutions (Memphis, TN)
- …Participate in reconciliation activities to review discrepancies in code or MS- DRG assignments + Conduct program evaluation and performance improvement activities + ... health record systems like VistA/CPRS preferred + Understanding of MS- DRG assignment, coding guidelines, and clinical documentation requirements + Familiarity… more
- Datavant (Boise, ID)
- …medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding ... for review by the facility or CCS HIM director. + Review disagreements on APC/ DRG changes with the appropriate manager. + Prepare the final reports for the coding… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …clinical indicators and associated diagnostic terms that translate into ICD-10 /Working MS- DRG codes and reimbursable data to reflect the Severity of Illness (SOI), ... experience in inpatient coding or sufficient knowledge of clinical documentation, DRG assignment and clinical conditions and procedures. + Excellent communication… more
- Scripps Health (San Diego, CA)
- …Coder) * Comprehensive understanding of ICD, CPT, and HCPCS coding systems, MS- DRG /APR- DRG methodologies, and risk adjustment/HCC principles. * Strong technical ... proficiency and experience in professional fee/physician services operations, analytics, and reporting. **Job:** **Business Office* **Organization:** **Scripps Health Corp* **Title:** *Senior Director, Revenue Cycle - Clinical Documentation Integrity*… more
- Ankura (Nashville, TN)
- …Analyze healthcare-specific operational metrics (eg, patient volumes, length of stay, DRG classifications, case mix) to identify key business drivers and performance ... trends. + Strategic Modeling & Forecasting: Develop robust financial models, business cases, and ROI analyses to evaluate capital investments, strategic initiatives, and inform demand forecasting. + Executive Communication & Visualization: Translate complex… more