- 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
- Penn Medicine (Philadelphia, PA)
- …are charted appropriately within defined regulatory timeframes + Assign a working MS- DRG upon initial admission review , and communicate with Physician or ... to reflect truth in diagnostic reflection. **Responsibilities:** + Direct review of patient charts to audit clarity and full...abstraction of clinical indicators, and the assignment of Initial DRG and Working DRG + Generate compliant… more
- Beth Israel Lahey Health (Burlington, MA)
- …including Severity of Illness (SOI), Risk of Morality (ROM), during an inpatient hospitalization. CDI Specialist RN initiates concurrent queries to providers as ... assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate DRG assignment, risk of morality, and severity of illness. Track review… more
- Covenant Health Inc. (Knoxville, TN)
- …records, the accuracy of documentation, and the appropriate assignment of a final DRG . The CDI Specialist functions as a resource for clinical staff and other ... discharge planning of patients. In order to assure appropriate DRG assignment and the validity and reliability of the...of the case-mix index, CDI is accountable for concurrent review of health records, reviewing documentation that supports the… more
- Cleveland Clinic (Cleveland, OH)
- …as they relate to hospital records. You will conduct quality reviews of inpatient CDI cases, queries, assigned codes and working DRGs. You will also contribute ... relate to hospital records. + Conduct quality reviews of inpatient CDI cases, queries, assigned codes and working DRGs....team and staff regarding ICD 10 CM/PCS, CPT-4 coding, DRG assignment and related clinical documentation issues or concerns.… more
- Covenant Health Inc. (Knoxville, TN)
- …medical record, the accuracy of documentation, and the appropriate assignment of a final DRG . The CDI Specialist functions as a resource for clinical staff and other ... care and discharge planning of patients. To assure appropriate DRG assignment and the validity and reliability of the...of the case-mix index, CDI is accountable for concurrent review of health records, reviewing documentation that supports the… more
- Stony Brook University (Commack, NY)
- …Comorbidities in ICD-10 CM books + Provide education to the CDI staff on the Inpatient Prospective Payment System. + Provide education to the CDI staff on the use of ... chapter. + Provide education to the CDI staff on DRG Expert reviews. Identify surgical DRG 's versus...staff on coding guidance on an ongoing basis. + Review and respond to coding questions. + Work in… more
- Datavant (Nashville, TN)
- …should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with ... is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of...Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient… more
- Penn Medicine (Lititz, PA)
- …work? Summary: + Position Summary: : Codes and abstracts information from inpatient and outpatient records by careful analysis and adherence to official coding ... procedure codes with appropriate present on admission indicators to inpatient records, based upon the practitioner clinical documentation. Determines appropriate… more
- Stanford Health Care (Palo Alto, CA)
- …coding with ICD, HCPCS, CPT codes, as well as APC and DRG assignments, while identifying instances of overpayments and underpayments. Proficiency in healthcare ... claims analysis, including the ability to review , interpret, and evaluate claims data to identify trends,...successful outcomes. + Knowledge of medical and insurance terminology, MS- DRG , APR- DRG , CPT, ICD coding structures, and… more