- Houston Methodist (Houston, TX)
- …position is responsible for the day-to-day operations of managing the inpatient /outpatient coding staff and managing the coding workflow for Houston Methodist. ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- Houston Methodist (Houston, TX)
- …Serves and actively participates on various committees as directed. + Ensures inpatient , hospital outpatient, and ambulatory visits are coded timely and monitors ... departments. + Responds to or clarifies internal requests for coding review by coders or department representatives. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Ensures… more
- Datavant (Little Rock, AR)
- …+ Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. + Collaborate with ... caregivers to ensure appropriate reimbursement and clinical severity for DRG -based payer patients. + Demonstrate understanding of complications, co-morbidities,… more
- UNC Health Care (Chapel Hill, NC)
- …the unique communities we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities ... severity of illness, and risk of mortality. Assures accurate assignment of Working MS- DRG , ICD-10-CM/PCS codes and CPT codes in accordance with the Official Coding… more
- CommonSpirit Health (Englewood, CO)
- …message to all constituents. **Key Responsibilities** + Conducts medical record review in appropriate cases for medical necessity of hospital admission, continued ... and quality care management. + Understand the intricacies of the Medicare Inpatient Prospective Payment System (IPPS) to make medical determinations on severity of… more
- HCA Healthcare (Nashville, TN)
- …this role:** + Ensure complete, accurate, timely and consistent coding and DRG /code validation, while adhering to published coding guidelines and Company/HSC policy. ... + Review and manage data outcomes to identify root causes...Leadership Team in addressing issues related to accurate/timely coding, DRG /code validation, documentation, and unbilled management + Work closely… more
- Rochester Regional Health (Rochester, NY)
- …proven leadership and management skills to promote effective and efficient review of physician documentation and the medical record. + Demonstrate knowledge ... program compliance to ensure adherence to all CMS regulations regarding DRG assignment. + Assume responsibility for professional development through participation at… more
- Centene Corporation (New York, NY)
- …to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review , hospital readmission review ... standards. **Education/Experience:** RN Degree. One year experience preferred in hospital inpatient coding. Nursing experience in managed care organization or acute… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …codes, MS- DRG , POA status, and discharge disposition values for inpatient health records. Audit accurate and complete assignment of ICD-10-CM, CPT, and ... CPT, and HCPCS for the subspecialty being assigned (outpatient, inpatient , outpatient and inpatient combined). ii. Ability...in an accurate and timely manner. iii. Ability to review coded data and supporting documentation to identify adherence… more
- Geisinger (Danville, PA)
- …The core of the program uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to be coded post ... means of finalizing information in the medical record. Job Duties: + Reviews inpatient medical records within 24-48 hours of admission for a specified patient… more