- WMCHealth (Valhalla, NY)
- …to the the coding leadership team. + Participates in mandated medical record review processes. + Using current ICD10 CM/PCS coding systems, assigns and records an ... documentation clarification + Ensures that all factors necessary for assigning an accurate DRG are present, and that all diagnoses are ranked properly. + Makes… more
- St. Luke's University Health Network (Allentown, PA)
- …concurrent, prospective and retrospective coding audit activities. The incumbent will also review and validate coded medical records of the Professional Coding (PC) ... determine data quality and accuracy of coding, billing, and documentation related to DRG 's, CPT, APC's, and HCPCS Level II code and modifier assignments, ICD… more
- Sutter Health (San Francisco, CA)
- …between Medicare Part A and Part B guidelines and how they impact DRG assignments (upon completion of training) + High degree of hospital coding knowledge, ... including but not limited to APR- DRG , MS- DRG , HCCs, Medicare, Medicaid & Managed...Reviews HAC/PSI database content weekly to support CDS account review + Works in tandem to provide clear communication… more
- 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