- Ascension Health (Redlands, CA)
- …codes, creating Ambulatory Patient Classification (APC) or Diagnosis-Related Group ( DRG ) assignments. + Obtain acceptable productivity/quality rates as defined per ... coding policy. + Querie physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. + Maintain knowledge of and comply with coding guidelines and reimbursement reporting… more
- Molina Healthcare (Rio Rancho, NM)
- …issues. + Assists with complex claim review including diagnosis-related group ( DRG ) validation, itemized bill review, appropriate level of care, inpatient ... readmission, and any opportunities identified by the payment integrity analytical team; makes decisions and recommendations pertinent to clinical experience. + Prepares and presents cases representing Molina, along with the chief medical officer (CMO), for… more
- Robert Half Office Team (Sacramento, CA)
- …Requirements * Proficiency in ICD-10-CM coding and Diagnosis Related Group ( DRG ) assignment. * Strong knowledge of coding compliance regulations and billing ... standards. * Experience with coding software such as Epic, 3M Encoder, and other medical record systems. * Exceptional attention to detail and ability to abstract data accurately. * Effective communication skills to collaborate with medical staff and… more
- Insight Global (Bloomington, MN)
- …* Working knowledge of medical terminology, medical coding systems; ICD-10, CPT4, DRG , GPI. Familiarity with software development, data and integration architecture ... Data analysts are responsible for driving adoption and use of data and analytic services and products. Data analysts work in collaborative scrum teams with developers, data scientists, and data engineers, and may share accountabilities in order to achieve… more
- Health Care Service Corporation (Chicago, IL)
- …(eg, IPPS, OPPS, etc.) + Familiarity with medical and pharmacy claims, ICD10, DRG , APC, HCPCS, and/or other CPT codes + Experience with version control/collaborative ... tools, such as GitHub **This is a Flex (Hybrid) role: 3 days in office; 2 days remote.** **Sponsorship is not available.** \#LI-PD1 \#LI-Hybrid INJLF **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral… more
- Mayo Clinic (Rochester, MN)
- …Knowledge of hospital inpatient coding principles including Diagnosis Related Group ( DRG ) assignment logic, conditions affecting hospital quality measures such as ... Hospital Acquired Conditions, Present on Admission, and HCCs. Ability to work concurrently in a fast-paced environment with identified productivity requirements and with individuals having diverse personalities and work styles. Requires strong accuracy,… more
- Ascension Health (Fishers, IN)
- …codes, creating Ambulatory Patient Classification (APC) or Diagnosis-Related Group ( DRG ) assignments. + Perform complex coding. + Obtain acceptable ... productivity/quality rates as defined per coding policy. + Query physicians when code assignments are not straight forward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. + Maintain knowledge of, comply with and keeps… more
- Ascension Health (Austin, TX)
- …reviews and assign a working Diagnosis Related Group. Ensure the working DRG and other information are entered in the Clinical Documentation Improvement database. ... + Initiate and maintain extensive interactions with physicians and mid-level providers to address the need for more detailed information in the medical record. + Collaborate with healthcare professionals to ensure the severity of illness and level of services… more
- Sutter Health (Modesto, CA)
- …and associated regulatory compliance requirements. General understanding of coding and DRG assignment process preferred. Must be able to effectively communicate ... with, and promote cooperation and collaboration between individuals including patients/families/caretakers, physicians, nurses and other ancillary partners. Ability to work independently and exercise sound judgment in interactions with physicians, payers, and… more
- Health Care Service Corporation (Chicago, IL)
- …methodologies (eg IPPS, OPPS, etc) + Familiarity with medical and pharmacy claims, ICD10, DRG , APC, HCPCS and/or CPT + Experience with Teradata, Hadoop, or other big ... data platforms and ability to create dynamic and visually engaging dashboard leveraging data visualization tools such as Tableau or Power BI This is a Flex (Hybrid) role: 3 days in office; 2 days remote work. Sponsorship is not available. \#LI-PD1 \#LI-HYBRID… more