- Tufts Medicine (Burlington, MA)
- …of deficiencies, within Epic, for missing documentation. Works with leadership to review denial reports as well as participating in internal and external audits ... offer feedback to management 21. Works closely with the DRG Validator to maintain high coding standards. **Physical Requirements:**...ICD- 10-CM, ICD 10- PCS, and CPT coding system, DRG , APG, , Government and Commercial payor policies, Coding… more
- ManpowerGroup (St. Paul, MN)
- …Participate in auditing tasks of medical record coding, documentation, compliance, and DRG assignment. + Demonstrate knowledge of DRG payer issues, documentation ... opportunities, and clinical documentation requirements. + Review medical records for completeness and accuracy regarding severity of illness and risk of mortality. +… more
- Nuvance Health (Danbury, CT)
- …minimum coding accuracy rate of 95% while ensuring compliance with DRG assignment, Present on Admission (POA) indicators, hospital-acquired condition (HAC) ... providers for clarification and documentation improvement to support accurate coding and DRG grouping. * Apply knowledge of 3M encoder or utilize ICD-10-CM/PCS… more
- Community Health Systems (Fort Wayne, IN)
- …required + Experience in ICU/Critical Care, case management, utilization review , quality, or inpatient coding preferred **Knowledge, Skills and Abilities** ... standards, and medical terminology + Proficient in ICD-10-CM/PCS coding principles, MS- DRG and APR- DRG assignment, and the IPPS system + Excellent verbal 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
- University of Washington (Seattle, 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
- Rochester Regional Health (Rochester, NY)
- …proven leadership and management skills to promote effective and efficient review of physician documentation and the medical record. + Demonstrate knowledge ... program compliance to ensure adherence to all CMS regulations regarding DRG assignment. + Assume responsibility for professional development through participation at… more
- AdventHealth (Altamonte Springs, FL)
- …as supporting on-going quality assurance needs for coding staff. They will review medical records and documentation for coding accuracy, providing feedback, and ... drug utilization. + Expert level knowledge of Medicare Severity Diagnosis-Related Groups (MS- DRG ), and All Patient Refined Diagnosis-Related Groups (APR DRG ),… more
- CommonSpirit Health (Houston, TX)
- …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
- UHS (Binghamton, NY)
- …codes for inpatient discharges. You will ensure proper grouping to the appropriate MS- DRG or APR Grouper while adhering to coding and reimbursement guidelines with ... codes accurately to inpatient records, ensuring correct grouping into APR or MS- DRG categories according to organizational policy and coding guidelines + Complete… more