- UnityPoint Health (Madison, WI)
- …shift, M-F + Job ID: 164399 Overview We're seeking a Clinical Documentation Integrity Specialist (CDIS) RN to join our team! In this role, you'll be responsible for ... to ensure the accuracy of diagnosis and procedural coding, Diagnosis Related Group ( DRG ) assignment, severity of illness (SOI), and expected risk of mortality (ROM).… more
- Veterans Affairs, Veterans Health Administration (Leeds, MA)
- Summary The Medical Records Technician (Clinical Documentation Improvement Specialist (CDIS-Outpatient and Inpatient), position is located in the Health Information ... patient's stay. Reviews the appropriateness of patient working Diagnosis Related Group ( DRG ) and length of stay information by reviewing all clinical documentation,… 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
- Stony Brook University (Commack, NY)
- …Official Coding guidelines by specific chapter. + Provide education to the CDI staff on DRG Expert reviews. Identify surgical DRG 's versus Medicine DRG 's. + ... Number:** 2500556 **Official Job Title:** : TH Medical Records Senior Specialist **Job Field** : Finance **Primary Location** : US-NY-Commack **Department/Hiring… more
- Banner Health (AL)
- …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
- Hartford HealthCare (Farmington, CT)
- …Revenue Cycle Medical Director to provide provider, CDI and coding education for DRG downgrade denials prevention and management. . Validates CDI reviews related to ... and quality outcomes reporting for Hartford HealthCare (HHC). . Accountable for DRG downgrade denials prevention and internal denial appeal processes. Creates HHC… 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
- Trinity Health (Livonia, MI)
- …as outlined in the CDI quality plan, such as by Clinical Documentation Specialist (CDS), service line, focus area and as otherwise necessary to ensure quality, ... the patient's severity of illness, risk of mortality, clinical validity and proper DRG assignment. ESSENTIAL FUNCTIONS Maintains current knowledge of the MS- DRG … more
- HCA Healthcare (Nashville, TN)
- …**Job Summary and Qualifications** As a work from home Inpatient Coding Specialist , you will review and evaluate hospital inpatient medical record documentation to ... 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
- Northwell Health (Garden City, NY)
- …- BSN or MSN candidates with a HCS-D - Home Care Coding Specialist -Diagnosis, COS-C Certificate for OASIS Specialist -Clinical. Validates Acute Inpatient coded ... Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates… more
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