- 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
- St. Luke's University Health Network (Allentown, PA)
- …Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS and CPT-4 codes, and MS- DRG /APR- DRG assignment. 2. Maintains 95% data quality coding accuracy rate as ... Responsible for remaining up-to-date knowledge of AHA ICD-9-CM/ICID-10-CM/PCS coding conventions, MS- DRG and APR- DRG principles and guidelines. Maintains a… more
- Mary Greeley Medical Center (Ames, IA)
- …of appropriate codes that represent classification of diseases and procedures for both DRG and non- DRG based payers and data collection. + Collaborates and ... chart format, hospital admission procedures, patient care, in-patient and outpatient services, DRG and non- DRG reimbursement system and implications, CCI and… more
- Fairview Health Services (St. Paul, MN)
- …claims. + Reviews insurance coding-related denials, including but not limited to: DRG downgrade, DRG Validation, Clinical Validation, diagnosis codes not ... 5 years hospital inpatient coding-related experience such as coding, auditing, abstracting, DRG assignment, Data Quality in coding denials + Registered Health Info… more
- St. Luke's University Health Network (Allentown, PA)
- …Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS and CPT-4 codes, and MS- DRG /APR- DRG assignment + Maintains 95% data quality coding accuracy rate as ... Responsible for remaining up-to-date knowledge of AHA ICD-9-CM/ICID-10-CM/PCS coding conventions, MS- DRG and APR- DRG principles and guidelines. Maintains a… more
- Penn Medicine (Philadelphia, PA)
- …provider clarification, abstraction of clinical indicators, and the assignment of Initial DRG and Working DRG + Generate compliant queries and non-leading ... appropriately within defined regulatory timeframes + Assign a working MS- DRG upon initial admission review, and communicate with Physician...systems is necessary + Serve as a resource on DRG issues **Credentials:** + RHIA or RN (Preferred) +… 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 ... audits. + Sequences the diagnoses & procedures to obtain the optimal DRG or APR- DRG assignment and demonstrates 95% accuracy as determined by monthly audits. +… more
- Penn Medicine (Lititz, PA)
- …analysis and provider profiling. Review coded medical records for coding and DRG accuracy by verifying that the principal diagnosis, secondary diagnoses, principal ... + Identify and communicate documentation issues and concerns that influence coding, DRG assignment, and severity of illness assessment to management as identified. +… more
- Garnet Health (Middletown, NY)
- …Improvement and Patient Access, the Manager of Clinical Documentation Integrity (CDI) and DRG Denials is responsible for the day to day operation of the CDI ... department and DRG Denials appeals process. The Manager will develop, implement...of ICD 10 diagnosis coding, CPT Coding guidelines and DRG -based reimbursement knowledge, required* Exceptional ability to communicate effectively… more