- HCA Healthcare (Fredericksburg, VA)
- …incentive plan driven, customer needs, identified trends, RAC, payer, etc.) for inpatient and/or outpatient coding (eg, DRG /code validation, query validation) + ... feedback and education as it relates to coding opportunities found during the review of accounts + Ensures rebill requests are entered timely through the… more
- WellSpan Health (Chambersburg, PA)
- …accordance with departmental goals for coding turnaround. 5. Selects the most accurate DRG for each inpatient account, maintaining compliance based on approved ... as a medical coder for the Health Information Management Department to review , retrieve, collect, and assign appropriate ICD-10-CM diagnoses codes and ICD-10-PCS or… more
- CommonSpirit Health (Englewood, CO)
- …medical record review in appropriate cases for medical necessity of inpatient admission, need for continued hospital stay, adequacy of discharge planning and ... quality care management. + Understand the intricacies of ICD-9-CM, ICD-10-CM/PCS, MS- DRG , APR- DRG , and the Medicare Inpatient Prospective Payment System… more
- CommonSpirit Health (Englewood, CO)
- …medical record review in appropriate cases for medical necessity of inpatient admission, need for continued hospital stay, adequacy of discharge planning and ... quality care management. + Understands the intricacies of ICD-9-CM, ICD-10-CM/PCS, MS- DRG , APR- DRG , and the Medicare Inpatient Prospective Payment System… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …the direction of Coding and Documentation leadership, provides active concurrent review , feedback, and education to physicians and healthcare providers to improve ... documentation of all conditions and treatments in the inpatient medical record, to ensure an accurate reflection of...accurate reflection of the patient condition in the associated MS- DRG assignments, case-mix index, severity of illness and risk… more
- Hartford HealthCare (Farmington, CT)
- …practices. *_Position Responsibilities:_* *Key Areas of Responsibility* *Denial Resolution* . Review DRG validation denials from payers, analyze the denial ... 2 is responsible for reviewing, analyzing, and appealing denials related to DRG (Diagnostic Related Group) validation denials. This role involves validating the… more
- Marshfield Clinic (Marshfield, WI)
- …bonus!**_** **JOB SUMMARY** The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the International Classification ... Uniform Hospital Discharge Data Set (UHDDS) and assignment of the appropriate MS- DRG (Medicare Severity-Diagnosis Related Group) or APR- DRG (All Patients Refined… more
- Houston Methodist (GA)
- …accuracy in code assignment of diagnosis and procedure to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while ... rules and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional… more
- Veterans Affairs, Veterans Health Administration (Asheville, NC)
- …current versions of ICD CM, PCS, CPT, and HCPCS classification systems to both inpatient and outpatient records. They review record documentation to abstract all ... but are not limited to: Assigns codes to documented patient care encounters ( inpatient or outpatient) covering the full range of health care services provided by… more
- St. Luke's University Health Network (Allentown, PA)
- …records identified by RAC/MIC/CGI/QIO and other outside auditors in retrospective reviews for DRG and coding-related issues. May participate in review of other ... 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… more