- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …Payment Groups (APG) and Resource Based Relative Value Scale (RBRVS) . Reviews Peer Review Organization notices for DRG changes and admission denials. . Performs ... Policies. Required Skills Proficient in ICD-10-CM, ICD-10-PCS coding and DRG optimization; experienced with electronic medical record. Exceptional communication… more
- University of Washington (Seattle, WA)
- …results of internal audits and partner with Compliance on external audit education + Review DRG and CPT claim denials for commercial payers and maintain written ... an expert in Inpatient coding , respond to general coding questions (ICD, DRG , CPT and HCPCS), engage in the development and/or implementation of audit/monitoring… more
- Methodist Health System (Dallas, TX)
- …provide statistical reporting and trend analysis. The Coder 2 is proficient in coding DRG based records as well as all other payers. Your Job Requirements: * High ... school graduate or its equivalent * Minimum of 2 years of DRG based coding experience in an acute care hospital with experience using an encoder * Proficient in… more
- Veterans Affairs, Veterans Health Administration (Chillicothe, OH)
- …full spectrum of services provided by the VAMC. Performs a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, ... or comorbidity (CC/MCC) and POA indicators to obtain correct MS- DRG . To qualify for GS-7: You must have one...or comorbidity (CC/MCC), and POA indicators to obtain correct MS- DRG . To qualify for GS-8: You must have one… more
- Sutter Health (Emeryville, CA)
- …of severity, acuity and risk for mortality, in addition to Direct Report Groups ( DRG ) assignment. This is a hybrid role with onsite requirements in the designated ... management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Some awareness of healthcare… more
- TEKsystems (Atlanta, GA)
- …records using ICD and CPT coding systems, ensuring compliance with MS- DRG classification standards, and supporting high-quality documentation practices. The ideal ... per day, and thrives in a dynamic, team-oriented environment. Key Responsibilities: Review and analyze inpatient medical records to assign accurate ICD and CPT… more
- AdventHealth (Orlando, FL)
- …the medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS- DRG Medicare Prospective Payment System requirements. Actively participates in ... Senior Coder demonstrates experience and expertise, so coding quality review is not required before billing. The Senior Coder...as outlined by governing bodies. Evaluates and consider various DRG options and optimize them in accordance with UHDDS… more
- Penn Medicine (Lancaster, PA)
- …upon the practitioner clinical documentation. Determines appropriate MS-Diagnostic Related Group DRG based upon diagnoses and procedure codes assigned. + Assigns ... from inpatient and outpatient records. + Participates in data quality peer review process, reviewing records according to established procedure. + The following… more
- Fairview Health Services (St. Paul, MN)
- …through Friday, handling 80 hours per pay period. **What You'll Do** + Review and code inpatient clinical records using _ICD‑10‑CM_ and _ICD‑10‑PCS_ in alignment ... with coding guidelines, MS‑ DRG /APR‑ DRG reimbursement rules, and Fairview protocols. + Validate computer‑assisted coding (CAC) output and ensure thorough,… more
- Houston Methodist (Houston, TX)
- …education **WORK EXPERIENCE** + Eight years of progressive coding and/or coding review (auditing) experience at a large facility or multi-facility + Some ... CPT) (for inpatient/outpatient coding) coding classification systems + For inpatient/outpatient coding: MS- DRG , APR DRG and APC assignment systems + Official… more