- Trinity Health (Maywood, IL)
- …and personal life while making a meaningful impact. **What you'll do:** + Review inpatient medical records to assign accurate diagnoses and procedure codes. + Apply ... MS- DRG , APR- DRG , POA, SOI, ROM, HAC, and PSI indicators. + Use encoder software and stay compliant with guidelines from CDC, CMS, AHA, and AHIMA. + Ensure coding… more
- Abbott (Abbott Park, IL)
- …Device (HUD) and any other Abbott sponsored trials designated for reimbursement + Review & support site negotiations of Clinical trial agreements (CTA), budgets and ... from many alternatives. + Reviewing protocol to provide consultation/guidance on CPT/ DRG codes for budget template development + Reviewing site budget response… more
- Houston Methodist (The Woodlands, TX)
- …This position is a key member and leader of the hospital's utilization review /management committee, which is charged with regulatory goals of ensuring high levels of ... length of stay, and quality issues. + Chair the utilization review /management committee, actively participates in defining operational strategic objectives for the… more
- LifePoint Health (Rutherfordton, NC)
- …Develop, review , and revise care pathways for specifically identified DRG 's to meet regulatory requirements, reduce LOS, readmissions and assure documentation ... adaptation and outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care and adherence to a… more
- AdventHealth (Altamonte Springs, FL)
- …liaison between coding and CDI when a coding team member escalates an account for review and final DRG decision. 1. Requires coding knowledge of all specialties ... inpatient coding. The Coder Analyst IV may participate in our quality, safety review process, which includes mortality, PSI, and HAC reviews. Must have strong coding… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …ensure compliance with federal/state laws and regulations and UTRGV policies. To review and analyze medical records, claims, and workflow processes to ensure ... and manual documentation, coding, and billing systems. . + Review , assess, study, and analyze the overall coding, billing,...Terminology ( CPT ) and Diagnosis Related Group ( DRG ) coding. Knowledge of medical, billing and coding… more
- WMCHealth (Kingston, NY)
- …the coding staff and the analysis staff as needed. RESPONSIBILITIES + Review and evaluate each medical record for appropriate assignment of ICD-10-CM diagnosis ... code(s). Accurately identifies principle diagnosis and all secondary diagnosis. + Review and evaluate each medical record for appropriate assignment of ICD-10-PCS… more
- Centene Corporation (Cheyenne, WY)
- …respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review , hospital readmission review ... and outlier payment review . + Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. + Ensure medical coding rules and regulations including compliance… more
- Albany Medical Center (Albany, NY)
- …for detailed reviews, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. They ... for detailed reviews, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. They… more
- Billings Clinic (Billings, MT)
- …an on-site resource for providers and staff. Calculates the MSDRG and APR- DRG . Ensures adherence to all Billings Clinic and regulatory compliance policies and ... and/or updated information to ensure most current guidelines are followed. Review of medical records for documentation to identify the principal diagnosis… more