- HCA Healthcare (Nashville, TN)
- …Qualifications** As a work from home Inpatient Coding Specialist, you will review and evaluate hospital inpatient medical record documentation to assign, sequence, ... the appropriate ICD-10-CM and ICD-10- PCS codes. You will perform coding and/or code/ DRG validation across multiple entities. What you will do in this role: +… more
- UNC Health Care (Chapel Hill, NC)
- …severity of illness, and risk of mortality. Assures accurate assignment of Working MS- DRG , ICD-10-CM/PCS codes and CPT codes in accordance with the Official Coding ... 11. Collects the statistics from the reviews and maintains accurate records of review activities to document cost/benefits and ROI. 12. Assists with overseeing the… more
- Hartford HealthCare (Farmington, CT)
- …as necessary, provides coverage and back up when manager is absent. **Documentation Review ** . Day to day clinical documentation reviews and second level reviews as ... compliant queries, assists with and provides education for the CDI team. . Inputs review workflows, accurate data, and CDI query impact into Iodine or other CDI… more
- Sutter Health (Modesto, CA)
- …acuity and risk for mortality, in addition to Direct Report Groups ( DRG ) assignment. **Job Description** : **EDUCATION:** + Doctorate: Graduate of an accredited ... a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Some...Sub-acute, Acute rehab. + Proficient Knowledge of coding and DRG assignment process preferred. + Must be able to… more
- TEKsystems (Dallas, TX)
- …what code and payment is recommended by MCMC. Then they pass it off to QA for review . They will do these cases over and over again to push them through. All of the ... to have experience in emergency services, inpatient coding, or DRG (diagnosis-related group) coding. This would allow them to...or exposure to inpatient coding, emergency services coding or DRG Coding Awareness of HIPAA Job Type & Location… more
- Humana (Springfield, IL)
- …coding. Applies clinical and coding experience to conduct a clinical validation review of the inpatient medical record to validate billed diagnoses. Understands ... For example: ICU, CCU, PCU, med-surg/adult units or a minimum of 2 years DRG Inpatient auditing. NOTE: Inpatient experience does **not** refer to any other levels of… more
- Cognizant (Columbia, SC)
- …and **PCS** (Procedure Coding System) standards. . **Responsibilities** + Review clinical documentation to assign accurate **ICD-10-CM** and **ICD-10-PCS** codes. ... and **3M Encoder** systems. **Preferred Skills** + Advanced understanding of DRG reimbursement methodologies. + Prior experience in high-volume coding environments.… more
- University of Michigan (Ann Arbor, MI)
- …and CPT code sets, Elixhauser Diagnoses, risk modeling (ex. Vizient and PHIS) and MS- DRG and APR- DRG grouping logic + Strong analytical skills, with the ability ... Deadline** Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting.… more
- University of Washington (Olympia, WA)
- …culture. + Performs daily activities related to of abstract Diagnosis Related Group ( DRG ) coding and billing + Analyzes the medical record to assign International ... and ICD-PCS codes using 3M computer assisted coding (CAC) to compute the final DRG assignment to diagnoses and procedures in an integrated system to ensure the… more
- CommonSpirit Health (Englewood, CO)
- …message to all constituents. **Key Responsibilities** + Conducts medical record review in appropriate cases for medical necessity of hospital admission, continued ... information staff. + Understand the intricacies of ICD-9-CM, ICD-10-CM/PCS, MS- DRG , and APR- DRG . + Contacts Case and...the intricacies of ICD-9-CM, ICD-10-CM/PCS, MS- DRG , and APR- DRG . + Contacts Case and Utilization Management Teams: Makes… more