- Datavant (Lincoln, NE)
- …caregivers to ensure appropriate reimbursement and clinical severity for DRG -based payer patients. + Demonstrate understanding of complications, co-morbidities, ... risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG . + Improve coding specificity by educating physicians and caregivers on the… more
- Houston Methodist (Houston, TX)
- …competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, ... Practice and performs associated actions upon non-compliance (ie, focal point review requirements, disaster plan, in-services, influenza immunization, wage and hour,… more
- Northwell Health (Garden City, NY)
- …the Medical Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes ... State regulations. 5.Applies coding rules and regulations to the validation review process. 6.Reviews codes on Medicare/non-Medicare charts for compliance to rules… more
- Catholic Health Initiatives (Bismarck, ND)
- …physician advisory services. + Understand the intricacies of ICD-9-CM, ICD-10-CM/PCS, MS- DRG , APR- DRG , and the Medicare Inpatient Prospective Payment System ... based on severity of illness, acuity, and risk of morbidity/mortality. + Review clinical record for medical necessity of acute hospital-based care on admission… more
- Geisinger (Danville, PA)
- …accurate assignment, risk of mortality, severity of illness; and initiate documentation of the review . + Pursues a subsequent review of records every three days ... to support and assign a working DRG assignment upon discharge. + Formulates queries when it...discharge. + Consistently meets established productivity targets for record review . + Identifies strategies for sustained work process changes… more
- Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
- …outpatient records. Inpatient duties consist of the performance of a comprehensive review of documentation within the health record to assign ICD-10-CM and ... of DRGs. Outpatient duties consist of the performance of a comprehensive review of documentation within the health record to accurately assign ICD-10-CM codes… more
- HCA Healthcare (Nashville, TN)
- …Qualifications** As a work from home Inpatient Coding Specialist, you will review and evaluate hospital inpatient medical record documentation to assign, sequence, ... the appropriate ICD-10-CM and ICD-10- PCS codes. You will perform coding and/or code/ DRG validation across multiple entities. What you will do in this role: +… more
- UNC Health Care (Chapel Hill, NC)
- …severity of illness, and risk of mortality. Assures accurate assignment of Working MS- DRG , ICD-10-CM/PCS codes and CPT codes in accordance with the Official Coding ... 11. Collects the statistics from the reviews and maintains accurate records of review activities to document cost/benefits and ROI. 12. Assists with overseeing the… more
- UPMC (Pittsburgh, PA)
- …for injections, infusions, hydrations, and reconciling NCCI edits. **Responsibilities:** + Review coding for accuracy and completeness prior to submission to billing ... and procedures done during the episode of care and assign appropriate codes. Review appropriate documents in the patients' charts to accurately assign a diagnosis… more
- Baptist Memorial (Memphis, TN)
- …and effectively present analytics or project results to key stakeholders for review and decision-making. + Evaluate and understand contract language as it relates ... of claims to include ICD-9/10 CPT, CPT, HCPCS II, DRG and revenue codes. + Demonstrates proficiency with various...comprehension and replication. + Leads in the development and review of the annual Managed care net revenue budgets… more