- Kaleida Health (Buffalo, NY)
- **Coding Quality Coordinator ** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job Description ... **Summary:** The Coding Quality Coordinator (CQC) professionals ensures accurate coding and data collection...Ancillary depts to perform and review the coding and DRG assignment for accuracy. Serves as the liaison between… more
- Trinity Health (Livonia, MI)
- …the patient's severity of illness, risk of mortality, clinical validity and proper DRG assignment. ESSENTIAL FUNCTIONS Maintains current knowledge of the MS- DRG ... Must have thorough knowledge of CMS regulations, coding guidelines and DRG reimbursement. Demonstrated knowledge of state and federal Hospital Acquired Conditions… more
- ManpowerGroup (Linthicum Heights, MD)
- Our client, is seeking a Health Claims Coordinator to join their team. As a Health Claims Coordinator , you will be part of the medical claims processing ... which will align successfully in the organization. **Job Title:** Health Claims Coordinator **Location:** Linthicum, MD **Pay Range:** $23.00 per hour **What's the… more
- Centene Corporation (Queens, NY)
- …provider payment issues, monitors unclaimed property, and assists in fee schedule and DRG analysis with review of fluctuations. + Compile and analyze weekly claim ... runs to explain variances and fluctuations. + Assist in performing DRG analyses for appropriate payment determination. + Assist in creating financial impact analysis… more
- Sanford Health (WI)
- …including complicating/comorbid diagnoses for accurate diagnosis-related group ( DRG ) assignment during hospitalization. Monitors patient hospitalization to ... denials. Inputs collected data into computer system for insurance communication, DRG grouping, data abstraction for monitoring and evaluation, and when applicable,… more
- Corewell Health (Southfield, MI)
- …of government regulations, third party payor requirements and various reimbursement methodologies (MS- DRG , APR- DRG , APC, Rehab CMG, RVU). Coordination of staff's ... day to day operations, assists in trouble shooting issues, problem solving and resolution of customer service and/or billing issues. Identify problematic coding trends based on audit activity to provide ongoing training and education. Monitors goals &… more
- Bassett Healthcare (Cooperstown, NY)
- …best quality of life possible. What you'll do The Unit Clinical Care Coordinator RN Unit C3 acts a principle liaison between emergency services, surgical services, ... aligned according to patient's clinical progression Reviews LOS values and working DRG daily Proactively monitors patients in observation or outpatient status and… more
- UCHealth (Denver, CO)
- Description Coordinator , Quality Medical Coding, Professional Billing Location: UCHealth Admin Lowry, US:CO: Denver Department: UCHlth Professional Coding FTE: Full ... data integrity by reviewing diagnosis and procedure code assignments, and validating MS- DRG , APC, or RVU designations. This is a remote position; eligible… more
- Bassett Healthcare (Cooperstown, NY)
- …aligned according to patient's clinical progression. Reviews LOS values and working DRG daily. Proactively monitors patients in observation or outpatient status and ... progresses status accordingly. Works with Nurse on discharge needs/barriers for all patients; initiates intervention by UM Nurse as needed. Identifies need for patient to receive IM letter; collaborates with UM Nurse as needed. Assists Clinical Documentation… more
- Queen's Health System (Honolulu, HI)
- …and problem-solving skills. * Experience with healthcare data (ICD-9/10, CPT, DRG ) within a hospital, healthcare, payor or health care services organization ... preferred. * Ambulatory experience preferred. * Experience in change management, systems analysis, consulting, facilitation, data analysis, data visualizations, and/or team building preferred. * Prior healthcare and/or population health management experience… more
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