- Beth Israel Lahey Health (Charlestown, MA)
- …timely, and compliant assignment of ICD-10-CM and ICD-10-PCS codes to ensure the correct MS- DRG , APR DRG , SOI assignments. The IP Coder III will work closely ... **Essential Duties & Responsibilities** including but not limited to: * Review the complete electronic and scanned medical records of discharged patients.… more
- Select Medical (Mechanicsburg, PA)
- …studies, as well as data quality reviews or other documentation audits. + Perform peer review of codes and DRG assignment. + Keep knowledge of coding and ... CCS or CPC-H credentials. + Experience in ICD-10-CM diagnoses, procedure coding and DRG validation. + One or more years of experience with inpatient hospital medical… more
- Veterans Affairs, Veterans Health Administration (North Chicago, IL)
- …full spectrum of services provided by the FHCC. Performs a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, ... or impacting treatment to correctly determine the proper Diagnosis Related Group ( DRG ). Conducts re-reviews of codes abstracted for patient encounters (inpatient and… more
- Covenant Health Inc. (Knoxville, TN)
- …medical record, the accuracy of documentation, and the appropriate assignment of a final DRG . The CDI Specialist functions as a resource for clinical staff and other ... care and discharge planning of patients. To assure appropriate DRG assignment and the validity and reliability of the...of the case-mix index, CDI is accountable for concurrent review of health records, reviewing documentation that supports the… more
- Trinity Health (Livonia, MI)
- …severity of illness, risk of mortality, clinical validity and proper DRG assignment. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates and demonstrates the ... ensure positive outcomes. Demonstrates a thorough understanding of the MS- DRG system, CCs/MCCs, impact on quality and CMI as...direct reports perform clinical validation as part of the review process and remain current on CDI strategies. Uses… more
- Cedars-Sinai (Los Angeles, CA)
- …measuring and reporting physician and medical center outcomes which incorporates current DRG methodologies (eg MS- DRG ) by CMS and/or other regulating/quality ... reporting bodies (eg APR- DRG ) Educates all members of the patient care team...5 years of experience in Acute Clinical Care, Utilization Review , Coding, or Case Management required Working knowledge of… more
- Mohawk Valley Health System (Utica, NY)
- …barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure compliance with regulatory requirements, hospitals objectives, ... appropriateness of admission and continued stay, severity, and morbidity/mortality. + Review patient status when admission criteria is non-sufficient for admission.… more
- Stony Brook University (Commack, NY)
- …ICD-10CM-PCS diagnostic and procedural codes for designated service lines. Working knowledge of MS- DRG and NYS APR DRG grouping logic to accurately reflect the ... procedures documented in the medical record. Documentation assessment and review for accurate abstracting of clinical data to meet...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- Northeast Alabama Regional Medical Center (Anniston, AL)
- …to ensure accurate and thorough documentation that will result in correct DRG assignment and improve reimbursement. Performs admissions and continued stay reviews to ... assure hospitalizations meet payor requirements. Maintains records of review information and outcomes for billing purposes and for compliance with requirements of… more
- Datavant (Boise, ID)
- …on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper ... for review by the facility or CCS HIM director. + Review disagreements on APC/ DRG changes with the appropriate manager. + Prepare the final reports for the… more