- 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
- St. Luke's University Health Network (Allentown, PA)
- …pay for health care. The Clinical Documentation Specialist is responsible for the review of inpatient medical records to facilitate the accurate representation ... of the severity of illness. This involves extensive record review , interaction with physicians, HIM professionals and nursing staff. Active participation in team… 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
- 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
- Arkansas Children's (Little Rock, AR)
- …Clinical Document Specialist (CCDS) - ACDIS - CCDS - ACDIS** **Certified Inpatient Coder (CIC) AAPC - CIC-AAPC** **Registered Health Information Administrator (RHIA) ... regulations. 2. Confers with coding specialists to ensure appropriate working DRG and completeness of supporting documentation. Confers with physicians face to… 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
- UNC Health Care (Goldsboro, NC)
- …worksheets as needed. 3. Works with Clinicians and Coders to successfully implement documentation review for MS- DRG and AP- DRG payers on assigned Hospital ... generate clear, compliant and concurrent questions to those Clinicians. 5. Utilizes inpatient admission criteria to assign diagnoses that meet acute care criteria.… more
- Northwell Health (Westbury, NY)
- …OASIS Specialist-Clinical. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code ... **Req Number** 155044 Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by… more
- UPMC (Pittsburgh, PA)
- …Coding and Facility Drug Administration coding and charging . Responsibilities: + Review coding for accuracy and completeness prior to submission to billing system ... and procedures done during the episode of care and assign appropriate codes. Review appropriate documents in the patients' charts to accurately assign a diagnosis… more