- Elevance Health (Denver, CO)
- ** Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work ... (local time) The ** Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP-...and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG… more
- Elevance Health (Roanoke, VA)
- …responsible for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis - Related Group ( DRG ) assignments. This role plays a ... **Manager DRG Coding Validation (Manager Program and Project Management)**...eliminate and prevent unnecessary medical-expense spending. The Manager of DRG Coding Audit & Clinical Validation leads a high-performing… more
- Veterans Affairs, Veterans Health Administration (Shreveport, LA)
- …complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnosis Related Group ( DRG ). Upon patient ... the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Duties include but… more
- Ascension Health (Brazil, IN)
- …Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis - Related Group ( DRG ) assignments. + Perform ... **Details** + **Department:** Ascension Medical Group Administration + **Schedule:** Monday-Friday 6a-6p (flex hours) + **Hospital:** Ascension Medical Group ,… more
- University of Michigan (Ann Arbor, MI)
- …and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group , (MS- DRG ) / All Patient Refined - ... Diagnosis Related Group , (APR- DRG ) based on payor classification and abstracts specific data elements for each case in compliance with federal… more
- Marshfield Clinic (Marshfield, WI)
- …Discharge Data Set (UHDDS) and assignment of the appropriate MS- DRG (Medicare Severity- Diagnosis Related Group ) or APR- DRG (All Patients Refined ... to DRG validation requests and other third party payer inquiries related to coding and DRG assignments as requested **JOB QUALIFICATIONS** **EDUCATION**… more
- Humana (Boise, ID)
- …payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group ( DRG ) assignments. Analyzes, enters and ... and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in… more
- University of Washington (Olympia, WA)
- …"patients are first" service culture. + Performs daily activities related to of abstract Diagnosis Related Group ( DRG ) coding and billing + Analyzes ... 3M computer assisted coding (CAC) to compute the final DRG assignment to diagnoses and procedures in an integrated...codes to each record to assure proper Case Mix Group (CMG) assignment and appropriate reimbursement to the facility… more
- Centene Corporation (New York, NY)
- …Purpose:** Responsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group ( DRG ) and Medical Record ... **Education/Experience:** Associate's degree in Nursing or equivalent experience. 4+ years of DRG and/or Medical Record Audit experience. One year of experience in a… more
- Southeast Health (Dothan, AL)
- …experience in hospital coding, including Medicare inpatients with demonstrated knowledge of diagnosis - related group ( DRG ) regulations, as evidenced ... a score of at least 90% on a coding test or six months of DRG coding with proven accuracy. LANGUAGE/ COMMUNICATION SKILLS: + Excellent oral and written communication… more