- UnitedHealth Group (Minneapolis, MN)
- …scale. Join us to start Caring. Connecting. Growing together . In this position as a DRG CVA RN Auditor , you will apply your expert knowledge of the MS- DRG ... proprietary tools, you will validate ICD-10 diagnosis and procedure codes, DRG assignments, and discharge statuses billed by hospitals to identify overpayments.… more
- Dividend Restaurant Group (Boston, MA)
- About the Organization OVERVIEW ABOUT DIVIDEND RESTAURANT GROUP Dividend Restaurant Group ( DRG ) was built on the core belief that the foundation of a company is ... of its systems and the discipline of its actions. DRG is a guest first and team focused organization...materials and certified coaches. Communicates job expectations and standards, review job performance, coach and hold team members accountable.… more
- Dividend Restaurant Group (Bloomfield Hills, MI)
- About the Organization OVERVIEW ABOUT DIVIDEND RESTAURANT GROUP Dividend Restaurant Group ( DRG ) was built on the core belief that the foundation of a company is ... of its systems and the discipline of its actions. DRG is a guest first and team focused organization...materials and certified coaches. Communicate job expectations and standards, review job performance, coach and hold team members accountable.… more
- Zenex Partners (San Francisco, CA)
- …the patient's accurate clinical picture. This involves extensive record review , interaction with physicians, allied health professionals, health information ... The CDS assists the organization by utilizing a concurrent review process to promote optimized severity of illness and...illness and quality in the medical record. This includes MS- DRG classification according to regulatory compliance set forth by… more
- Ovation Healthcare (Brentwood, TN)
- …necessary. Import claims from host system into claims processing system when required. Review claims that are pended for edits and resolve. Prepare and submit ... patient services, ensuring compliance with third party payer guidelines and regulations. Review patient accounts and reconcile payments with secondary payers and … more
- Hoag Memorial - Red Hill Clinic (Costa Mesa, CA)
- …the use of the contract management tool for proper pricing (Examples: APC, DRG , APRDRG). *Reviews and initiates the initial appeal for underpayments, observing all ... *Reports new/unknown billing edits to the direct supervisor for review and resolution. *Has a strong understanding of the...in full at the time payment is due. *May review applicable cash rates, special rates, and applicable professional… more
- The Davey Tree Expert Company (Kent, OH)
- …Site: On Site Req ID: 213555 Position Overview Davey Resource Group, Inc., " DRG ", is seeking hard working, experienced person(s) with a strong background in AutoCAD ... Meet and communicate with internal team members and external clients to review ongoing design work and provide project updates. Utilize knowledge of engineering… more
- St. Barnabas (Bronx, NY)
- …improvement strategies Conducts monthly analysis of Medicare/Medicaid/Third Party Payers Review and resolve issues related to claim generation and rejected/denied ... of hospital reimbursement and facility claims submission, collection and analysis ( DRG , APC, Managed Care contracting) Hospital denials and appeals management… more
- NavitsPartners (Hyannis, MA)
- …improving the quality of clinical documentation. This supports appropriate DRG assignment, risk adjustment, reimbursement, and regulatory compliance. Primary Duties ... and Responsibilities: Review medical records for documentation accuracy and completeness. Collaborate with physicians, HIM professionals, and nursing staff. Identify… more
- UPMC (Pittsburgh, PA)
- …compliance with coding guidelines, third-party payer and OIG regulations. **Responsibilities:** + Review and evaluate focused UPMC DRG medical records for ... UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within...years of coding experience. In this role, you will review clinical documentation within the medical record to ensure… more
