- Guthrie (Troy, PA)
- …through analysis of clinical and financial data, including length of stay and DRG profiling. Education, License & Cert: RN Bachelor of Science degree in Nursing ... of experience in an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or obtaining a Case… more
- Beth Israel Lahey Health (Charlestown, MA)
- …including Severity of Illness (SOI), Risk of Morality (ROM), during an inpatient hospitalization. CDI Specialist II initiates concurrent queries to providers as ... of complete and accurate documentation. **Job Description:** + Concurrently reviews inpatient records to ensure completeness, accuracy, and clinical validation. +… more
- Northwell Health (Lake Success, NY)
- …clinical documentation in the patient's medical record through a concurrent review process throughout the patient's inpatient stay. 4.Requests clarification ... mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and all...8.Demonstrates knowledge of ICD-10 CM and ICD-10 PCS coding, MS- DRG and APR NY and APR National grouper logic,… more
- Commonwealth of Pennsylvania (PA)
- …future today! DESCRIPTION OF WORK The primary responsibility of this position is to review referrals for substance use inpatient treatment services as well as ... Full-Time Job Number CS-2025-36830-L0686 Department Local Government Division DA Delaware Co Drg Alchl Abs U Opening Date 11/18/2025 Closing Date 12/1/2025 11:59 PM… more
- Texas Health Resources (Arlington, TX)
- …Evaluate the effectiveness of internal controls and compliance procedures. Coding & Documentation Review - Assist the audit team with inpatient , outpatient, and ... best practices for areas vulnerable to compliance errors. Denial Support & Case Review - Conduct additional reviews to assist departments handling Medicare, OIG, or… more
- University of Southern California (Arcadia, CA)
- …and other clinical staff. + Meets established productivity targets for record review and appropriate query placement. + Demonstrates working knowledge of ICD-10 CM ... the medical record in accordance with all regulatory requirements. + Reviews inpatient Medical Record for identified payor populations on admission and throughout… more
- University of Utah (Salt Lake City, UT)
- …External Posting **Pay Rate Range** $70,000 - $100,000 **Close Date** 02/13/2026 **Priority Review Date (Note - Posting may close at any time)** **Job Summary** ... of Compliance Managers and administrative staff. Conducts scheduled and unscheduled inpatient , outpatient, and professional audits and projects related to billing… more
- AdventHealth (Altamonte Springs, FL)
- …patient and involved care givers (as permitted by the patient) as well as a review of the current and past inpatient and outpatient medical record in the ... team as needed. Establishes and documents, based on the predicted DRG and multidisciplinary team member's input, Anticipated Date of Transition (ADOT)… more
- AdventHealth (Orlando, FL)
- …patient and involved care givers (as permitted by the patient) as well as a review of the current and past inpatient and outpatient medical record in the ... team as needed. Establishes and documents, based on the predicted DRG and multidisciplinary team member's input, Anticipated Date of Transition (ADOT)… more
- AdventHealth (Hinsdale, IL)
- …patient and involved care givers (as permitted by the patient) as well as a review of the current and past inpatient and outpatient medical record in the ... team as needed. Establishes and documents, based on the predicted DRG and multidisciplinary team member's input, Anticipated Date of Transition (ADOT)… more