- Elevance Health (Las Vegas, NV)
- ** Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work ... supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make… more
- SSM Health (MO)
- …to discharge, ensuring an accurate reflection of the patient condition in the associated Diagnosis Related Group ( DRG ) assignments, case-mix index, ... the principal diagnosis , pertinent secondary diagnoses, and procedures for accurate diagnosis review group ( DRG ) assignment, risk of mortality (ROM),… more
- Veterans Affairs, Veterans Health Administration (North Chicago, IL)
- …complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnosis Related Group ( DRG ). Conducts re-reviews ... coding practices, guidelines and conventions when choosing the most appropriate diagnosis , operation, procedure, ancillary, or Evaluation and Management code to… 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
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnosis Related Group ( DRG ). Upon patient ... coding practices, guidelines and conventions when choosing the most appropriate diagnosis , operation, procedure, ancillary, or evaluation and management (E/M) code… 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
- 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
- Hartford HealthCare (Farmington, CT)
- …for query impact. . Collaborates with coding leadership to determine appropriate Medicare Severity- Diagnosis Related Group (MS- DRG , APR-DRGs, etc.) ... Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so...on quality, mortality and harm, and other HHC initiatives related to CDI. . Presents education on topics … more
- Sanford Health (Sioux Falls, SD)
- …authorization, continued stay review including diagnosis and procedural coding for working diagnosis related group ( DRG ) assignments. Workflows may ... functions for authorization requirements. May assist with additional special projects related to work, upcoming initiatives, new organizational goals and audits when… more
- Ascension Health (Glendale, WI)
- …Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis - Related Group ( DRG ) assignments. + Perform ... healthcare professionals since 1848. Operating 17 hospital campuses and over 100 related healthcare facilities from Racine to Appleton, you will find opportunities… more
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