- 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
- Houston Methodist (WA)
- …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
- Penn Medicine (Lititz, PA)
- …compliance with regulations, and accuracy for clinical care analysis and provider profiling. Review coded medical records for coding and DRG accuracy by ... + Position Summary: : Codes and abstracts information from inpatient and outpatient records by careful analysis and adherence...cross training to existing staff as needed. + Research, review and respond to coding and coding quality issues… more
- HonorHealth (AZ)
- …it does. Learn more at HonorHealth.com. Responsibilities Job SummaryThe Utilization Review RN Specialist reviews and monitors utilization of health care services ... high quality cost-effective care. Ensures appropriate level of care through comprehensive review for medical necessity of extended stay, outpatient observation, and … more
- Penn Medicine (Philadelphia, PA)
- …diagnoses, principal procedure, and secondary procedures accurately. Performs analysis of the DRG assigned to produce the highest level of reimbursement to which the ... Sequences the diagnoses & procedures to obtain the optimal DRG or APR- DRG assignment and demonstrates 95%...the following guidelines: + HUP - Average of 7.5-11.5 inpatient records coded daily + PPMC - Average of… more
- Deloitte (Los Angeles, CA)
- …nurse, physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, Quality, DRG Validation and health IT ... regarding clinical documentation standards and clinical indicators which drive reimbursement, MS- DRG , APR- DRG , PSIs, HACs, POA, Vizient, Elixhauser, public… more
- UTMB Health (Galveston, TX)
- …of patient status that translates into coded data. **Job Duties:** + Concurrently review inpatient admissions to identify opportunities to clarify missing or ... inpatient ICD-10 coding guidelines and clinical documentation requirements to assign working MS- DRG . + Enter review information and working MS- DRG /APR-… more
- Northwell Health (Staten Island, NY)
- …physician for all coded records. Serves as an onsite resource for both inpatient and outpatient coding issues. Maintains an understanding of both Inpatient ... documentation within the record 8. Works in concert with DRG Validator on ' DRG Assurance' 9. Verifies...productivity and competency levels established for a full time Inpatient Coder 10. ( Inpatient :20 ) Meets productivity… more
- Intermountain Health (Harrisburg, PA)
- …Integrity (CDI) Registered Nurses (RN) and Intermountain Physician Advisors to review complex facility encounters and assign International Classification of Diseases ... ICD-10 and Diagnosis Related Groups ( DRG ) codes for claims concurrently while a patient is...reviews while patients are hospitalized. It aids in the review of quality measures including Patient Safety Indicators and… 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 ... experience is required. BSN is strongly preferred. Job Duties: + Reviews inpatient medical records within 24-48 hours of admission for a specified patient… more