- University of Utah Health (Salt Lake City, UT)
- …Provider card. + Proficiency in application of InterQual Criteria, knowledge of ICD-9, DRG 's and CPT Codes. + Utilization Review Certification designation. + ... appropriateness of admissions with associated levels of care and continued stay review . + Communication to third-party payers for initial and concurrent clinical … more
- Houston Methodist (WA)
- …rules and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional ... duties include participating in quality review and performance improvement projects throughout the department and/or facility. **PEOPLE ESSENTIAL FUNCTIONS** +… more
- Penn Medicine (Lititz, PA)
- …compliance with regulations, and accuracy for clinical care analysis and provider profiling. Review coded medical records for coding and DRG accuracy by ... new coding staff and cross training to existing staff as needed. + Research, review and respond to coding and coding quality issues and questions from various… more
- Fairview Health Services (St. Paul, MN)
- …with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses the coding components of said claims. + Reviews insurance ... coding-related denials, including but not limited to: DRG downgrade, DRG Validation, Clinical Validation, diagnosis codes not supported, and/or general coding… more
- Penn Medicine (Philadelphia, PA)
- …diagnoses, principal procedure, and secondary procedures accurately. Performs analysis of the DRG assigned to produce the highest level of reimbursement to which the ... Sequences the diagnoses & procedures to obtain the optimal DRG or APR- DRG assignment and demonstrates 95%...Missing Pathology Report + Physician Query Needed + Death Review + Discharge Disposition + Missing Other Reports (Card… more
- The Davey Tree Expert Company (Fort Smith, AR)
- …Overview** **Asset Management** is a division of **Davey Resource Group Inc. ( DRG )** which has been employee-owned since 1979. Asset Management specializes in ... Learn to identify electrical/communication utility equipment and potential hazards. + Review and/or correct data integrity errors within GIS databases. + Understand… more
- Trinity Health (Columbus, OH)
- …toward the integrity of clinical documentation through the roles of reviewer , educator and consultant. Facilitates the overall quality, completeness, accuracy, and ... integrity of medical record documentation through extensive record review . Through extensive interaction with physicians and other members of the healthcare team,… more
- Stony Brook University (Commack, NY)
- …Official Coding guidelines by specific chapter. + Provide education to the CDI staff on DRG Expert reviews. Identify surgical DRG 's versus Medicine DRG 's. + ... staff on coding guidance on an ongoing basis. + Review and respond to coding questions. + Work in...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… 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; and initiate documentation… more
- UTMB Health (Galveston, TX)
- …of inpatient ICD-10 coding guidelines and clinical documentation requirements to assign working MS- DRG . + Enter review information and working MS- DRG /APR- ... patient status that translates into coded data. **Job Duties:** + Concurrently review inpatient admissions to identify opportunities to clarify missing or incomplete… more