- Hartford HealthCare (Farmington, CT)
- …other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials related ... to DRG (Diagnostic Related Group) validation denials. This role involves...follow-up actions, and ensuring compliance with regulatory standards. The specialist also plays a critical role in preventing future… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis ... and procedure codes to assure properly assigned MS- DRG for the purposes of appealing proposed MS-...assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support… more
- St. Luke's University Health Network (Allentown, PA)
- …patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all ... diagnosis and procedure codes to assure properly assigned MS- DRG or APR- DRG for the purpose of appealing proposed DRG and coding changes by insurance… more
- SSM Health (MO)
- …Regular **Job Highlights:** Must have prior experience as a Clinical Documentation Specialist **Required Qualifications:** + 1 year of experience as a Clinical ... Documentation Specialist + Additional Two years' in an acute care...the patient condition in the associated Diagnosis Related Group ( DRG ) assignments, case-mix index, severity of illness (SOI), and… more
- Kaleida Health (Buffalo, NY)
- **Clinical Documentation Specialist ** **Location:** **Larkin Bldg @ Exchange Street** **Location of Job** **: US:NY:Buffalo** **Work Type** **: Full-Time** **Shift ... 1** **Job Description** **The Clinical Documentation Specialist (CDS) professionals strive to promote an accurate and meaningful database that clearly demonstrates… more
- Sharp HealthCare (San Diego, CA)
- …- The American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - The American Health Information Management Association (AHIMA); ... all diagnoses and procedures, including co-morbidities and complications, sequenced, and grouped ( DRG 's, MS- DRG 's and APC's) as mandated. Uses the most accurate… more
- Houston Methodist (LA)
- At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical documentation. This ... position analyzes medical records for DRG 's, complications, and comorbidities; identifies trends; and notes observations and recommendations for documentation… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and ... procedure codes to assure properly assigned MS- DRG for the purposes of appealing proposed MS- DRG and coding changes by insurance providers or their auditors.… more
- Guidehouse (Escondido, CA)
- **Job Family** **:** CDI Specialist **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The CDI Specialist is responsible ... assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial...up case reviews (or worksheet to include code and DRG assignment) and submit to Program Assistant. + Updates… more
- Penn Medicine (Philadelphia, PA)
- …Spruce St + Hours: 8hr Days Summary: + The Clinical Documentation Specialist will be responsible for supporting an organization-wide system for improving clinical ... and other clinicians for complete and accurate documentation. The CD Specialist will utilize presentation, general instruction, and a compliant query discussion… more
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