- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for the review and coding of inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding guidelines ... care hospital Proficiency in the use of automated coding and DRG /AOC grouping software. **Licensing and Certification Requirements (if applicable)** Name: Certified… more
- Houston Methodist (TN)
- …customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. + Initiates queries with physicians to obtain ... application of positive language principles + Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance +… more
- Dartmouth Health (Lebanon, NH)
- …supporting operational and compliance objectives. Performs complex professional and facility ( DRG or APC) coding and billing audits across all clinical specialties. ... are realized. * Designs and performs audit procedures including analytical review , internal control assessments, and substantive audit tests as required by… more
- Geisinger (Danville, PA)
- …core of the program uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to be coded post discharge in a ... the principal diagnosis, relevant secondary diagnoses, and procedures for accurate DRG assignment, risk of mortality, severity of illness Formulates queries when… more
- CenterWell (Tallahassee, FL)
- …partner with offshore coding team and leaders to address post-visit review coding KPIs (quality, Turn-Around-TAT, appropriate clinician queries). + Participate in ... managing teams and driving performance. + RHIA, RHIT, CCS, CPC Certification + MS- DRG auditing or APR auditing experience + Acute in-patient and/or outpatient coding… more
- Mohawk Valley Health System (Utica, NY)
- …AHA - AMA Guidelines, CMS and NGS. Core Job Responsibilities + Assign the appropriate DRG based on an analysis of the patient file and medical necessity + Assign ... and procedural coding + Respond to Insurance, compliance and RAC denials + Review and assist in the maintenance of coding related policies and procedures +… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …and identifying any deficiencies. + Prepare summaries for management of quality review results, including basic analysis of identified trends. + Analyzes audit ... for workflow enhancements. + Evaluates Prospective Payment System (PPS) (eg APC, DRG , etc.) grouping and pricing information. + Meets individual and departmental… more
- Southeast Health (Dothan, AL)
- …Common Procedure Coding System (HCPCS), ICD-10-CM, Modifiers, and Diagnosis Related Group ( DRG ) codes based on documentation. + Informs supervisor of issues with ... any coding or billing guideline changes to staff. + Participates in provider coding review , as requested. + Must complete data entry, know use of internet, and know… more
- Hunterdon Health Care System (Flemington, NJ)
- …for billing, claim adjustment, account follow-up processes. + Complete payment review , working Compass Exception Reports. + Process denials timely. + Exhibit ... experience working in a customer service environment. Experience with Medicare Rules, DRG /APC payment methodology. + License, Registry or Certification : + Required:… more
- University of Rochester (Rochester, NY)
- …accordance with applicable coding rules and policies (eg ICD-10, CPT-4, HCPCS, DRG ). Analyzes, enters and manipulates database. Responds to or clarifies internal ... FUNCTIONS** + Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M,… more