- Taco Bell (San Jacinto, CA)
- …all company policies and procedures. + Maintain a professional appearance. BENEFITS + DRG Cares Grant Program: Grants to assist employees with life challenges and ... financial assistance. + DRG Savings Marketplace: Exclusive access to discounts for ...DRG Savings Marketplace: Exclusive access to discounts for DRG employees. + Employee Assistance Program: Counseling services, legal… more
- Trinity Health (Livonia, MI)
- …severity of illness, risk of mortality, clinical validity and proper DRG assignment. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates the ... defined regional and/or system goals are met. Maintains current knowledge of the MS- DRG system, CCs/MCCs, impact on quality, risk of mortality, severity of illness… more
- Deloitte (Los Angeles, CA)
- …regarding clinical documentation standards and clinical indicators which drive reimbursement, MS- DRG , APR- DRG , PSIs, HACs, POA, Vizient, Elixhauser, public ... case manager, clinical documentation specialist, utilization review, informatics RN, Quality, DRG Validation and health IT preferred + Knowledge of Medicare… more
- Kaleida Health (Buffalo, NY)
- …an accurate reflection of the patient condition in the associated DRG assignments, case-mix index, documentation/coded quality metrics, and reimbursement. The CDS ... exhibits a sufficient knowledge of clinical documentation requirements, DRG assignment, and clinical conditions and/or procedures. They educate members of the… more
- Penn Medicine (Philadelphia, PA)
- …diagnoses, principal procedure, and secondary procedures accurately. Performs analysis of the DRG assigned to produce the highest level of reimbursement to which the ... Assist the Revenue Cycle Manager by completing the preliminary DRG report for Finance, and compiling additional reports as...Sequence the diagnoses & procedures to obtain the optimal DRG or APR- DRG assignment and demonstrates 96%… more
- Kaleida Health (Buffalo, NY)
- …an accurate reflection of the patient condition in the associated DRG assignments, case-mix index, documentation/coded quality metrics, and reimbursement. Exhibits a ... sufficient knowledge of clinical documentation requirements, DRG assignment, and clinical conditions and/or procedures. Educate members...systems such as, but not limited to, ICD- CM, AP- DRG , APR - DRG , MS- DRG required.… more
- Molina Healthcare (WI)
- …We are seeking a candidate with a RN licensure, Diagnosis-Related Group ( DRG ) experience, 2 years of Utilization Review and/or Medical Claims Review experience. ... Knowledge in coding: DRG , ICD-10, HCPCS codes is highly preferred. Additional experience...claims auditing, QA, or recovery auditing ideally in a DRG /Clinical Validation is a plus. Work hours: Monday -… more
- Catholic Health (Buffalo, NY)
- …physicians and administration regarding issues related to the appropriateness of inpatient DRG assignment and Level of Care. Coordinates follow-up audits to ensure ... coding clinics including recent changes/updates, and understanding of the various DRG methodologies (AP- DRG and MS- DRG ) + Extensive clinical knowledge and… more
- Omaha Children's Hospital (Omaha, NE)
- …of the patient. Exhibits sufficient knowledge of clinical documentation requirements. APR- DRG assignment and clinical conditions and procedures. Educates members of ... the principle diagnosis, pertinent secondary diagnoses and procedures for accurate APR- DRG assignment, risk of mortality and severity of illness. Conducts follow-up… more
- Houston Methodist (Katy, TX)
- …**SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding/ DRG requests. Responds promptly to Business Office requests to code or ... Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS- DRG and APR- DRG assignment, sequencing of diagnoses and procedures,… more