- Highmark Health (Harrisburg, PA)
- …II code and modifier assignments, ICD diagnosis and procedure coding, DRG /APC structure according to regulatory requirements. Reports findings both verbally and ... systems, missed secondary diagnoses and procedures and ensures compliance with DRG /APC structure and regulatory requirements. Performs periodic claim form reviews to… more
- Trinity Health (Livonia, MI)
- …within their region. Provides direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator. Working with the Regional ... directly responsible for the daily assessments of current Clinical Documentation Specialist staffing levels and processes. Ensures that defined goals are… more
- Elevance Health (Seattle, WA)
- …conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:** + Analyzes and audits ... documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS- DRG , AP- DRG and APR- DRG ; or any combination of education and… more
- Texas Health Resources (Arlington, TX)
- …. Ability to apply definition of principal diagnosis for accurate coding, MS- DRG and POA assignment. . Strong knowledge of ICD-10-CM/PCS diagnosis and procedure ... coding guideline, DRG and POA assignment. . Moderate skills including MS...coding and compliance purposes. . Collaborates with Clinical Documentation Specialist to improve coding and documentation. . Demonstrates and… more
- Houston Methodist (Houston, TX)
- …Director manages personnel performing inpatient and outpatient medical record coding, DRG and APC assignment, abstracting, and data entry functions; ensures accuracy ... including measuring and improving quality outcomes. + Ensures that coding and DRG assignment is performed accurately and ethically, in accordance with nationally… 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
- Sharp HealthCare (San Diego, CA)
- …Start Time** **Shift End Time** Other; Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Certified Health Care Compliance ... coding or professional E/M coding in the following coding systems: ICD-10-CM/PCS, DRG , CPT& HCPCs, and/or E/M CPT. **Preferred Qualifications** + Other : Strong… 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
- Beth Israel Lahey Health (Charlestown, MA)
- …reviews on medical records to validate the ICD-10-CM and ICD-10-PCS codes, DRG appropriateness, missed secondary diagnoses and procedures, and ensure compliance and ... accuracy of the MS- DRG , APR DRG and other reimbursement impacting...+ Works closely with the HIM Clinical Documentation Improvement Specialist (CDIS) and clinical staff to evaluate inpatient coding… more
- UPMC (Wexford, 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 required (MS- DRG , APR- DRG , APC, APG or ICD10-CM, HCPCS, CPT, Modifiers,… more
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