- UHS (Binghamton, NY)
- …This role requires prior coding experience and strong knowledge of DRG (Diagnosis Related Group) assignment, clinical documentation, and coding compliance. Primary ... Department, Division, or Unit: Coding Support Services, UHS Revenue Cycle Operations Primary Work Shift: Day Compensation Range: $27.80 - $41.69 per hour, depending on experience You will be eligible for benefits if you are hired into a regular position with… more
- Northwell Health (Lake Success, NY)
- …to maintain relevant efficiency and turnaround time standards for completing coding/ DRG assignment. 9.Assigns and reports all other data elements required for ... Statewide Planning and Research Cooperative System (SPARCS) data collection, Congenital Malformations and Expirations. 10.For outpatient encounters, applies coding conventions and official coding guidelines approved by the Current Procedural Terminology (CPT)… more
- Scripps Health (San Diego, CA)
- …government health insurance and billing guidelines, ACA requirements, understanding of DRG 's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers. **Job:** ... **Business Office* **Organization:** **Scripps Clinic* **Title:** *Lead, Patient Service - CT Scanner - La Jolla* **Location:** *Central San Diego County-LA JOLLA-SCF-ANDERSON MEDICAL PAVILION* **Requisition ID:** *252006546* more
- Northwell Health (Lake Success, NY)
- …coding questions. 8.Demonstrates knowledge of ICD-10 CM and ICD-10 PCS coding, MS- DRG and APR NY and APR National grouper logic, documentation opportunities, ... clinical documentation requirements, and compliance to regulatory and facility policies and procedures. 9.Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient's chart. 10.Reconciles reviewed… more
- Banner Health (Mesa, AZ)
- …regular supervision. Uses specialized knowledge for accurate assignment of ICD/CPT and MS- DRG codes according to national guidelines. May seek guidance for correct ... interpretation of coding guidelines and LCDs (Local Coverage Determinations). MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge and specialized formal training equivalent to the two year certification course in medical record… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …of Current Procedural Terminology ( CPT ) and Diagnosis Related Group ( DRG ) coding. Knowledge of medical, billing and coding terminology and assignment of ... codes. Physical Capabilities N/A Employment CategoryFull-Time Minimum SalaryCommensurate with Experience Posted SalaryCommensurate with Experience Position Available Date04/22/2025 Grant Funded PositionNo If Yes, Provide Grant Expiration Date Posting Detail… more
- WelbeHealth (Nashville, TN)
- …methodologies, such as Medicare/Medi-Cal fee schedule, Diagnosis Related Groups ( DRG ), Multiple Procedure Payment Reduction (MPPR) and benefit interpretation and ... administration + In depth experience with Medicare and Medicaid claims processing + Demonstrated skills within Microsoft Office Applications & electronic claims processing systems + Strong organizational, analytical, communication and time management skills… 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
- Texas Health Resources (Arlington, TX)
- …solutions for complex compliance and coding challenges. Extensive knowledge of MS DRG , APC, ICD-10-CM/PCS, CPT, HCPCS coding, modifiers, NCCI edits, and official ... coding guidelines. Strong understanding of medical terminology, human anatomy and physiology, pathophysiology, and pharmacology. Expertise in office and outpatient coding, report preparation, data analysis, and proficiency in Microsoft Office products (Excel,… more
- McLaren Health Care (Macomb, MI)
- …utilization management nurse and obtains orders from providers. 5. Reviews current DRG /LOS identified within Cerner to assess discharge planning needs with providers ... and identifies which family member is the point of contact. 6. Assesses risk of readmission for specified patient populations and initiates assigned interventions that will enhance the patient's ability to successfully transition along the care continuum. 7.… more
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