- UTMB Health (Galveston, TX)
- …of such information for senior management (eg, patient experience, service line, DRG , and physician profiling). * Assists with data for implementing patient ... experience and quality improvement processes and initiatives. Research other qualified outside benchmark data for comparison to internal benchmarks. Manage and design reports and benchmarking results clearly and concisely, and process and interpret report data… more
- University of Miami (Medley, FL)
- …ICD-10-CM/PCS Official Coding Guidelines, UHDDS, and regulatory requirements for accurate MS- DRG assignment. + Ensures accurate capture of Severity of Illness (SOI) ... and Risk of Mortality (ROM) indicators. + Applies knowledge of the Elixhauser Comorbidity Index and Vizient quality measure logic, focusing on specialty-specific conditions that impact MCC/CC capture and quality data reporting. + Collaborates with CDI, quality… more
- Lawrence General Hospital (Lawrence, MA)
- …hospitalist team. + Develop annual LOS reduction targets through data analysis of DRG patterns and social determinants of health. + Strategic Planning: + Contribute ... to the strategic planning and development of the hospitalist program in alignment with the goals of the healthcare system. + Identify opportunities for program growth and innovation. Education and Experience: + MD or DO degree with board certification in… more
- Fresenius Medical Center (Plano, TX)
- …data including but limited to discharge disposition which impacts reimbursement and/or MS- DRG assignment. Adheres to Standards of Ethical Coding (AHIMA). + Reviews ... medical records to determine accurate required abstracting elements (facility/client/payer specific elements) including appropriate ESRD designation. Reviews medical records for the determination of accurate assignment of all documented ICD-10 codes for… more
- Hunterdon Health Care System (Flemington, NJ)
- …experience working in a customer service environment. Experience with Medicare Rules, DRG /APC payment methodology. + License, Registry or Certification : + Required: ... + None + Preferred: + Certificate and/or Advanced Specialized or technical training, IE: Certified Revenue Cycle Specialist - Institutional (CRCS-I) or Certified Revenue Cycle Specialist - Professional (CRCS-P) through AAHAM. + Knowledge, Skills and/or… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …of Utilization Review, Care Management and Medical Polices. + Knowledge of APR DRG , HCPCS, CPT, ICD-10 diagnosis and procedure codes and plan benefit designs. + ... Proficiency in Word, Excel, PowerPoint, MS Outlook, and strong computer skills including ability to navigate and clinically interpret information from UM and CM systems, NASCO & Impact Pro. + Some accounting and financial knowledge. + Certified Coder -… more
- IQVIA (ME)
- …+ Expertise in managing **report migration** from platforms like IQVIA, SHA & DRG and proven success in **report migration projects** and data harmonization. + ... Advanced **data analysis** across diverse healthcare use cases (eg, Customer Profiling, Reversal/Rejection Analysis, Adherence Curves). + Knowledge of therapeutics areas including Oncology, Auto Immune, Cardiovascular & rare diseases. + Strong ability to… more
- Highmark Health (Pittsburgh, PA)
- …reimbursement methodologies used across the healthcare continuum (ex. % of charge, DRG , APC) + Ability to effectively communicate and negotiate with C-suite level ... representatives of hospitals and health systems + Critical thinking + Decision making **REQUIRED LICENSURE** None **PREFERRED LICENSURE** None **TRAVEL REQUIREMENT:** 50% - 75% **LANGUAGE REQUIREMENT (** **_other than English_** **)?** None **PHYSICAL, MENTAL… more
- UNC Health Care (Hendersonville, NC)
- …research, and analytical skills. . Knowledge of CPT/APC/HCPCS and ICD/ DRG coding and reimbursement concepts. . Positive service-oriented communication skills. ... Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. Qualified applicants will… more
- The Davey Tree Expert Company (Dayton, OH)
- …by law. Utility Asset Management is a division of Davey Resource Group, Inc. ( DRG ), a Davey company. Davey has been employee-owned since 1979. Our engineering, field ... services, inspection, and construction teams help keep the world connected, supporting the infrastructure of our electric utility and communications partners. The Davey Tree Expert Company provides research-driven tree services, grounds maintenance and… more