- Molina Healthcare (Rochester, NY)
- …team and key stakeholder meetings (PowerPoint) + Coordinates and provides peer review of our quarterly national contract performance analysis by team members to ... reports and makes recommendations based on relevant findings. + Provides peer review of pricing configuration to ensure accuracy of financial modeling + Provides… more
- Molina Healthcare (NM)
- …team and key stakeholder meetings (PowerPoint) * Coordinates and provides peer review of our quarterly national contract performance analysis by team members to ... reports and makes recommendations based on relevant findings. * Provides peer review of pricing configuration to ensure accuracy of financial modeling * Provides… more
- Corewell Health (Caledonia, MI)
- …Related Groups ( DRG ) or All Patient Refined Diagnostic Related Groups (APR- DRG ) accuracy.The outpatient senior coder will review multiple service lines of ... Job Summary The inpatient senior coder will thoroughly review inpatient record accounts to assign correct ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes… more
- Northwell Health (Garden City, NY)
- …Remote position 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
- Beth Israel Lahey Health (Burlington, MA)
- …Lahey Health (BILH), including collaboration with Physician leaders, Coding, DRG Validators, Physician Advisors and Performance Improvement departments. The Manager ... staff on an ongoing basis. . Implement 2nd level review for targeted opportunity, including but not limited to...expert with a full understanding and working knowledge of DRG assignments and metrics . High level understanding of… 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
- Trinity Health (Maywood, IL)
- …Full time Inpatient Coder position responsible for coding inpatient discharges, review medical record documentation to abstract data and assign accurate ICD-10 ... accurate, ethical coding and reimbursement. **What you'll do:** + Review inpatient medical records to assign accurate diagnoses and...to assign accurate diagnoses and procedure codes. + Apply MS- DRG , APR- DRG , POA, SOI, ROM, HAC, and… more
- UPMC (Pittsburgh, PA)
- …charging for injections, infusions, hydrations, and observation hours. 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
- Datavant (Little Rock, AR)
- …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
- Ansible Government Solutions (Memphis, TN)
- …consistent with ICD-10 CM code sets + Participate in reconciliation activities to review discrepancies in code or MS- DRG assignments + Conduct program evaluation ... customers' success as if it is their own. Duties and Responsibilities + Review and analyze health records to identify documentation improvement opportunities in both… more