- 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
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …apply today. SUMMARY OF JOB The Clinical Documentation Specialist (CDS) performs concurrent review of the medical record to promote the integrity of the clinical ... clinical indicators and associated diagnostic terms that translate into ICD-10 /Working MS- DRG codes and reimbursable data to reflect the Severity of Illness (SOI),… more
- Houston Methodist (Houston, TX)
- …education **WORK EXPERIENCE** + Eight years of progressive coding and/or coding review (auditing) experience at a large facility or multi-facility + Some ... CPT) (for inpatient/outpatient coding) coding classification systems + For inpatient/outpatient coding: MS- DRG , APR DRG and APC assignment systems + Official… 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
- 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
- Humana (St. Paul, MN)
- …guidance where needed. Follows established guidelines/procedures. **KEY ACCOUNTABILITIES** + Review medical documentation, obtain additional information that may be ... timeframes when physician is available for peer to peer review , and forward to physician review companies...guidelines + Working knowledge of ICD-9 or ICD-10, HCPCS, DRG use + Experience with TRICARE contracts and/or the… more
- Houston Methodist (Houston, 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
- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- …database as well as all cost recovery programs. Performs a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, ... population, to determine budgetary requirements, to report to accrediting and peer review organizations, to bill insurance companies and other agencies, and to… more