- Mohawk Valley Health System (Utica, NY)
- …conventions. Core Job Responsibilities Provider Interaction and Clinical Documentation Review + Develops and executes comprehensive queries (written and verbal) ... + Collaborates with CDI and coding teams during reconciliation to ensure accurate DRG , SOI, ROM, and POA assignments. + Maintains ethical standards in all provider… more
- 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
- 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
- University of Miami (Medley, FL)
- …other regulatory requirements to assure proper Medicare Severity Diagnostic Related Groups (MS- DRG ) assignment. + Review medical record documentation for major ... been returned due to missing documentation, physician query response, DRG mismatch, etc. + Mandatory daily review ...response, DRG mismatch, etc. + Mandatory daily review and reconciliation of any pending audit reviews. +… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …and completeness of clinical documentation. Inpatient CDI focuses on the concurrent review of patient records with an emphasis on improving documentation while the ... outpatient encounters through retrospective, ideally prior to coding and billing, review of outpatient encounters and extensive provider education. Queries clinical… 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)
- …Adobe Reader in using required computer systems with minimal assistance. + Review the medical record and all applicable documentation to determine the appropriate ... 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… more
- HonorHealth (AZ)
- …and reimbursement. Review CDI notes in Midas to ensure consistent coding. Review and analyze medical records for DRG /APC assignment to accurately reflect the ... least 2 years of IP coding experience or comparable clinical experience. DRG and APC assignment analysis to accurately reflect the diagnosis/procedures documented in… more
- Dignity Health (Rancho Cordova, CA)
- …emergency department same-day surgery and observation charts if needed. + Review provider documentation to determine the principal diagnosis co-morbidities and ... Coding in relation to DRGs + Abstract additional data elements during the chart review process when coding as needed + Utilize technical coding principals and MS-… more
- Datavant (San Juan, PR)
- …reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs. + Provides rich and concise rationale explaining the ... and/or auditing. + CCS (required), RHIA or RHIT preferred + Maintain 95% DRG accuracy rate + Experience with various software including Epic, Cerner, and other… more