- UPMC (Pittsburgh, PA)
- …infusions, hydrations, and observation hours. INPATIENT : Codes all inpatient accounts, diagnoses, and procedures. Responsibilities: + Review coding ... Purpose: OUTPATIENT & INPATIENT CODING OUTPATIENT: Coding diagnosis & procedure codes...during the episode of care and assign appropriate codes. Review appropriate documents in the patients' charts to accurately… 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
- Corewell Health (Caledonia, MI)
- Job Summary The inpatient senior coder will thoroughly review inpatient record accounts to assign correct ICD-10-CM diagnosis codes and ICD-10-PCS procedure ... DRG ) or All Patient Refined Diagnostic Related Groups (APR- DRG ) accuracy.The outpatient senior coder will review ...in a remote work environment. + Codes outpatient or inpatient records according to coding guidelines and conventions. Assigns… more
- Ansible Government Solutions (Memphis, TN)
- …consistent with ICD-10 CM code sets + Participate in reconciliation activities to review discrepancies in code or MS- DRG assignments + Conduct program evaluation ... customers' success as if it is their own. Duties and Responsibilities + Review and analyze health records to identify documentation improvement opportunities in both… more
- UPMC (Pittsburgh, PA)
- …GWTG/Get with The Guidelines with The Joint Commission. Completes a detailed review to validate data of downloads, accuracy statistics and quarterly/annual Patient ... three different governmental agencies. CMS/Center for Medicare and Medicare IQR/ Inpatient specifications, IPFQR/ Inpatient Psychiatric Facility specification, OQR/Outpatient… more
- AdventHealth (Orlando, FL)
- …managed care payers. The PA role is responsible for providing physician review of utilization, claims management, and quality assurance related to inpatient ... to the team:** + SCOPE OF RESPONSIBILITY: Responsible for reviewing and authorizing inpatient days and the evaluation of inpatient utilization patterns within… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …in inpatient coding or sufficient knowledge of clinical documentation, DRG assignment and clinical conditions and procedures. + Excellent communication (verbal ... apply today. SUMMARY OF JOB The Clinical Documentation Specialist (CDS) performs concurrent review of the medical record to promote the integrity of the clinical… more
- OhioHealth (Columbus, OH)
- … account diagnoses as required by official coding guidelines. Accurately Assign DRG /MSDRG/APR- DRG at the minimum standards of 95% Review Diagnosis and CC/MCC ... Summary:** This position performs facility coding and abstracting functions of Inpatient . **Responsibilities And Duties:** 1. 60% Assigns appropriate admit, &… more
- Community Health Systems (Fort Wayne, IN)
- …experience required + Experience in ICU/Critical Care, case management, utilization review , quality, or inpatient coding preferred **Knowledge, Skills and ... years of experience in clinical documentation improvement, health information management, or inpatient coding required + 1-3 years of provider or physician education… more