- University of Miami (Hialeah, FL)
- …CDIs, Coders, Quality, and other relevant multidisciplinary teams. The concurrent inpatient quality reviewer will assign a working DRG , as well as capture and ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Concurrent Quality… more
- HCA Healthcare (Alexandria, LA)
- **Description** **Rapides Regional Medical Center** **RN Clinical Reviewer ** **PRN** Rapides Regional Medical Center is committed to investing in the latest ... delivering patient-centered care?** Submit your application for RN Clinical Reviewer PRN position and spend more time at the...the level of services rendered to patients with a DRG based payer. It also ensures the accuracy and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to educate physicians, nursing, and other clinical staff to improve documentation. + Review ?s DRG Reassignment letters and assists in formulating Appeal letters ... leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor** to extract data from patient encounters ensuring the… more
- Elevance Health (Houston, TX)
- …clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via ... ** DRG CODING AUDITOR** **Location** : _This position will...will work virtually._ _Alternate locations may be considered._ The ** DRG CODING AUDITOR** is responsible for auditing inpatient medical… more
- SSM Health (MO)
- …the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate diagnosis review group ( DRG ) assignment, risk of mortality (ROM), and ... reflection of the patient condition in the associated Diagnosis Related Group ( DRG ) assignments, case-mix index, severity of illness (SOI), and risk of mortality… more
- Kaleida Health (Buffalo, NY)
- …and insurance / managed care practices including but not limited to: utilization review , RAC, MAC, Q10, clinical and DRG denial management required. **Working ... **Director Clinical and DRG Denials** **Location:** Larkin Bldg @ Exchange Street...Shift 1 Job Description **Summary:** The Director, Clinical & DRG Denials provides clinical leadership and administrative guidance to… more
- SSM Health (MO)
- …mortality models, observed rate/expected rate (O/E ratios), industry trends, variable and diagnosis review group ( DRG ) frequency. + Serves as a liaison between ... specialized mortality reviews. **Required Qualifications:** + Prior experience as a Second Level Reviewer + Two years in an acute care setting with two years… more
- University of Washington (Seattle, WA)
- …various elements including, but not limited to, CC/MCC capture rate and/or risk adjustment review and will be clarified by DRG . + Ensures that pertinent patient ... - MONTLAKE** has an outstanding opportunity for a **Second Level Review Clinical Documentation Integrity Specialist (RN).** **WORK SCHEDULE** Full-time day shift.… more
- UTMB Health (Galveston, TX)
- …for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of ... Senior DRG Coder - Revenue Cycle Coding (Certification Required)...or equivalent and three years of experience. The Sr. DRG coder must be proficient in inpatient coding with… more
- WMCHealth (Valhalla, NY)
- …in working with multiple computer applications and EMR systems. Responsibilities: + Review diagnostic, procedural and DRG assignments for validity and accuracy. ... DRG Validator- REMOTE Company: NorthEast Provider Solutions Inc....(https://pm.healthcaresource.com/cs/wmc1/#/preApply/28109) Internal Applicant link Job Details: Job Summary: The DRG Validator will be responsible for coding reviews for… more