- UPMC (Pittsburgh, PA)
- …on problems when necessary in coordination with the Coding Manager and/or Coding Specialist and assist in correcting deficiencies in DRG assignment. + Prepare ... third party payer and OIG regulations. Responsibilities: + Review and evaluate focused UPMC DRG medical records for accurate DRG assignment to ensure that all… more
- UPMC (Pittsburgh, PA)
- …documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. + Incorporate ... secondary diagnoses as reviewed by the designated trainer and/or the DRG Specialist . Coder should meet appropriate coding productivity standards within the time… more
- UPMC (Pittsburgh, PA)
- …documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. + Refer problem ... sequenced in order of their clinical significance to accurately assign the appropriate DRG /APC/ASC or payment tier under the Prospective Payment system or DSM IV… more
- UPMC (Pittsburgh, PA)
- …documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. a { ... sequenced in order of their clinical significance to accurately assign the appropriate DRG /APC/ASC or payment tier under the Prospective Payment system or DSM IV… more
- UPMC (Pittsburgh, PA)
- …documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. High School or ... sequenced in order of their clinical significance to accurately assign the appropriate DRG /APC/ASC or payment tier under the Prospective Payment system or DSM IV… more
- Penn Medicine (Philadelphia, PA)
- …charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician ... our future each day. Are you living your life's work? **HIM Inpatient Coding Specialist II** **Job Summary:** + Performs all coding and abstracting for Penn Medicine… more
- St. Luke's University Health Network (Allentown, PA)
- …patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all ... diagnosis and procedure codes to assure properly assigned MS- DRG or APR- DRG for the purpose of appealing proposed DRG and coding changes by insurance… more
- Deloitte (Philadelphia, PA)
- …registered nurse, physician, physician assistant, case manager, clinical documentation specialist , utilization review, informatics RN, Quality, DRG Validation ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...clinical documentation standards and clinical indicators which drive reimbursement, MS- DRG , APR- DRG , PSIs, HACs, POA, Vizient, Elixhauser,… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and ... procedure codes to assure properly assigned MS- DRG for the purposes of appealing proposed MS- DRG and coding changes by insurance providers or their auditors.… more
- Datavant (Harrisburg, PA)
- …to realize our bold vision for healthcare. As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs related ... healthcare from your own workspace! Seeking Inpatient Auditor proficient in MS- DRG and APR- DRG **What You Will Do:** + Performs Inpatient Facility coding audits… more