- 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
- OhioHealth (Columbus, OH)
- …account diagnoses as required by official coding guidelines. Accurately Assign DRG /MSDRG/APR- DRG at the minimum standards of 95% Review Diagnosis and CC/MCC ... for maximum SOI/ROM Clinical understand of laboratory and radiology values Knowledge of quality outcomes indicators Work with CDS to improve physician documentation and case mix index Assign Principal Diagnosis accurately at least 95% or better Monitor and… more
- CommonSpirit Health (Englewood, CO)
- …the message to all constituents.** **Key Responsibilities** + Conducts medical record review in appropriate cases for medical necessity of inpatient admission, need ... and quality care management. + Understands the intricacies of ICD-9-CM, ICD-10-CM/PCS, MS- DRG , APR- DRG , and the Medicare Inpatient Prospective Payment System… more
- 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