- Penn Medicine (Lititz, PA)
- …analysis and provider profiling. Review coded medical records for coding and DRG accuracy by verifying that the principal diagnosis, secondary diagnoses, principal ... + Identify and communicate documentation issues and concerns that influence coding, DRG assignment, and severity of illness assessment to management as identified. +… more
- Garnet Health (Middletown, NY)
- …we invite to make your career home with us as a CLinical Documnetaion Specialist on our CDI team at/in Garnet Health Medical Center. Responsibilities Under the ... Improvement and Patient Access, the Manager of Clinical Documentation Integrity (CDI) and DRG Denials is responsible for the day to day operation of the CDI… more
- Houston Methodist (Houston, TX)
- …**SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding/ DRG requests. Responds promptly to Business Office requests to code or ... Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS- DRG and APR- DRG assignment, sequencing of diagnoses and procedures,… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …ICD-910 CM/PCS coding conventions and guidelines for optimal Diagnostic Related Group ( DRG ) assignment. Codes information from the patient medical record to generate ... of the Ambulatory Payment Classifications (APCs) and Diagnostic Related Group ( DRG ). Accurate and complete coding remains the primary responsibility of the… more
- UPMC (Pittsburgh, PA)
- …the ICD-10-CM, CPT, and HCPCS codes or CPT and HCPCS ICD-10-CM-PCD and DRG assignment appropriateness to ensure consistency and efficiency in claims processing, data ... CMS and third-party payer coding, billing, and documentation compliance regulations preferred (MS- DRG , APR- DRG , APC, APG or ICD10-CM, HCPCS, CPT, Modifiers,… more
- WMCHealth (Valhalla, NY)
- …documentation clarification + Ensures that all factors necessary for assigning an accurate DRG are present, and that all diagnoses are ranked properly. + Makes ... Provides information and responds to inquiries regarding medical documentation and DRG 'S to hospital staff including Utilization and Quality Assurance staff, Patient… more
- Banner Health (WY)
- …stringent than most national standards identified. Quality standards are set at a DRG accuracy rate of 95% or higher among other quality measures. Meeting Accounts ... using ICD CM and PCS coding classification systems. Completes MS- DRG and APR- DRG assignments on inpatient records...degree in a health care field. Requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified… more
- BJC HealthCare (St. Louis, MO)
- …Center. **Preferred Qualifications** **Role Purpose** The Clinical Documentation Improvement Specialist I (CDIS I) uses clinical and coding knowledge for ... of the Coding Clinic Guidelines to assign working diagnosis-related groups ( DRG ); review patient records throughout hospitalization that have been identified as… more
- UPMC (Pittsburgh, PA)
- …CMS, and third-party payer coding, billing, and documentation compliance regulations required (MS- DRG , APR- DRG , APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, ... etc.). + Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M codes. + Experience… more
- Veterans Affairs, Veterans Health Administration (Shreveport, LA)
- …or impacting treatment to correctly determine the proper Diagnosis Related Group ( DRG ). Upon patient admission to the Community Living Center/Nursing Home Care Unit, ... above the journey level; however, for clinical documentation improvement specialist assignments, a clinical documentation improvement certification may be… more