- Hartford HealthCare (Farmington, CT)
- …of the initial coding and clinical documentation. . Conduct a thorough review of medical records , coding, and clinical documentation to validate or appeal payer ... assignment, and payer regulations related to DRG validation. . Ability to analyze medical records , coding documentation, and payer denial reasons to determine… more
- Elevance Health (Mendota Heights, MN)
- …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
- Community Health Systems (Franklin, TN)
- …utilizing appropriate coding references for CHS hospitals via scanned, electronic and hybrid medical records . Based on review findings, writes appeal letters to ... audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in ICD-10-CM/PCS coding, DRG assignments, and...Appeals. + Partners with peers and Director to develop coder education based on findings. + Performs other duties… more
- Sanford Health (ND)
- … (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), Certified Coding Specialist-Physician-based (CCS-P), Registered Health ... and corrective actions. Maintains logs, indexes, files, computer databases, and other records pertaining to compliance and risk. Creates logs and systems for… more
- Alameda Health System (Oakland, CA)
- …duties as required. Performs the process of coding and abstracting all patient medical records in accordance with established ethical and clinical coding rules ... and conventions. 9. Organize and prioritize all work to ensure that records are coded in timeframes that will assure compliance with regulatory requirements.… more
- Sanford Health (Sioux Falls, SD)
- … (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), Certified Coding Specialist-Physician-based (CCS-P), Registered Health ... and corrective actions. Maintains logs, indexes, files, computer databases, and other records pertaining to compliance and risk. Creates logs and systems for… more
- UPMC (Pittsburgh, PA)
- …performed during an episode of care. + Review and evaluate focused UPMC DRG medical records for accurate DRG assignment to ensure that all documented principal ... role, the DRG Specialist II will review clinical documentation within the medical record to ensure that all patient resource utilization, diagnostic complications… more
- Independent Health (Buffalo, NY)
- …+ Responsible for all reconsideration clinical appeals to include review of records , consultation with Medical Director, response to facilities as well ... one of the following certifications or licensures: Certified Inpatient Coder (CIC), Registered Health Information Management Administrator (RHIA), Registered Health… more
- Community Health Systems (Fort Wayne, IN)
- …problem-solving skills + Skilled in use of CDI tools, encoder software, and electronic medical records + Ability to mentor and support the professional growth of ... Degree preferred + 4-6 years of acute care hospital nursing experience (eg medical /surgical unit, intensive care) required + 2-4 years of experience in clinical… more
- AdventHealth (Greenwood Village, CO)
- …process improvements to further enhance program coding goals and outcomes. + Evaluates medical records to ensure Monitor, Evaluate, Assess, and Treat (MEAT) ... experience. **The value you'll bring to the team:** + Analyzes medical record documentation for HCC accuracy, correct documentation, and educational opportunities.… more