- Texas Health Resources (Arlington, TX)
- …to analyze data, identify trends, and recommend solutions for complex compliance and coding challenges. Extensive knowledge of MS DRG , APC, ICD-10-CM/PCS, CPT, ... Manager Compliance Coding _Are you looking for a rewarding career...establishing management correction plans when necessary. Additionally, the Compliance Auditor Manager effectively communicates audit findings through reports, presentations,… more
- St. Luke's University Health Network (Allentown, PA)
- …assigned MS- DRG or APR- DRG for the purpose of appealing proposed DRG and coding changes by insurance providers or their respective auditors JOB DUTIES ... RAC/MIC/QIO and other governmental or commercial payor auditors in retrospective reviews for DRG and documentation or coding -related issues. + Develop and apply… more
- NCH (Naples, FL)
- …identify potential missed opportunities for documentation clarification, act as a liaison between coding and CDI to resolve DRG or other code discrepancies, ... measures, safety, and other required reporting programs. * In-depth knowledge of MS- DRG payer issues, documentation opportunities, coding guidelines and changes… more
- Datavant (Honolulu, HI)
- … coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …CPC designation within one year of hire date. + Knowledge of medical record coding conventions (eg CPT, DRG , HCPCS, ICD10, etc.). + A general understanding ... contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as… more
- TEKsystems (Dallas, TX)
- … Coding Specialist CCS) Experience or exposure to inpatient coding , emergency services coding or DRG Coding Awareness of HIPAA Job Type & Location ... for everyone to have experience in emergency services, inpatient coding , or DRG (diagnosis-related group) coding...are looking at. Does not have to be an auditor or a ton of experience, but just knowledge… more
- Veterans Affairs, Veterans Health Administration (Johnson City, TN)
- …journey level include clinical documentation improvement specialist (CDIS) and auditor . CDISs are responsible for facilitating improved overall quality, education, ... documentation through extensive interaction with physicians, other patient caregivers, coding staff and other associated staff to ensure clinical documentation… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases ... (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to accepted coding practices, guidelines and… more
- SSM Health (MO)
- …review group ( DRG ) frequency. + Serves as a liaison between coding staff and physicians as appropriate. Identifies and initiates opportunities for new program ... Performs as a vital member of the interdisciplinary care team member, an auditor , and an educator ensuring medical records are complete and clinical documentation… more