- Elevance Health (Indianapolis, IN)
- …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Title:** Diagnosis Related Group Clinical Validation Auditor- RN (CDI, MS- DRG , AP- DRG ...as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or… more
- LA Care Health Plan (Los Angeles, CA)
- …of Microsoft Office suite, including Word, Excel and PowerPoint. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Payment Integrity Nurse Coder RN III Job Category:...and completeness of ICD, Rev Code, CPT, HCPCs, APR, DRG , POA, and all relevant coding elements.… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …CPC designation within one year of hire date. + Knowledge of medical record coding conventions (eg CPT, DRG , HCPCS, ICD10, etc.). + A general understanding ... group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government...on or before December 28, 2022. + Current NYS RN license with a minimum of three years clinical… more
- Deloitte (Los Angeles, CA)
- …Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical ... diagnoses, treatments, and follow-up entries in medical records to lead to coding accuracy + Identify gaps...CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician assistant, case manager,… more
- Trinity Health (Livonia, MI)
- …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... Administrator (RHIA) + Registered Health Information Technician (RHIT) + Certified Coding Specialists (CCS) + Licensure as a physician assistant (PA) or Nurse… more
- Fairview Health Services (St. Paul, MN)
- … coding experience + Minimum 3 years CDI experience **License/Certification/Registration** + Current Registered Nurse of MN ( RN ) licensure or current ... Registered Health Information Tech (RHIT) credentials or Certified Coding Specialist (CCS) or Certified Documentation Integrity Practitioner (CDIP) or Certified… more
- BronxCare Health System (Bronx, NY)
- …queries, ongoing opportunities, and physician process and outcome data. Qualifications - Registered nurse or other health care profession required. -Three ... CDI queries and perform second level reviews. - Identify DRG mismatches and manage and collaborate with Coding... DRG mismatches and manage and collaborate with Coding team on reconciling DRG mismatches. -Develop… more
- Hartford HealthCare (Farmington, CT)
- …others as needed. **Education** . Bachelor degree or equivalent experience **Experience** . Minimum: Registered Nurse ( RN ) with 3-5 years CDS experience . ... experience o Previous management experience preferred **Licensure, Certification, Registration** . RN and/or Certified Coding Specialist (CCS) **And** .… more
- Hartford HealthCare (Farmington, CT)
- …Manager or Supervisor **Education** . Associates Degree or equivalent experience. **Experience** . Registered nurse ( RN ) with recent clinical experience in ... an ongoing basis. CDS 1 may mentor, train or lead other CDS during their orientation period and assist...1-2 years CDS experience **Licensure, Certification, Registration** . Minimum: RN and/or Certified Coding Specialist (CCS) .… more
- Catholic Health (Buffalo, NY)
- …is vital. Responsibilities: EDUCATION + Bachelor of Science Nursing (BSN) degree + Registered Nurse with a current New York State license CERTIFICATION + ... physicians and administration regarding issues related to the appropriateness of inpatient DRG assignment and Level of Care. Coordinates follow-up audits to ensure… more