- Elevance Health (Richmond, VA)
- Manager of DRG Coding ...prevent unnecessary medical-expense spending. The ** Managers of DRG Coding & Clinical Validation** ... or process improvement and efficiency recommendations. .Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate… more
- Elevance Health (Chicago, IL)
- …Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital ... ** DRG Coding Auditor Principal** **_Virtual: _**...medical audit activities. + Draws on extremely advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge… more
- Elevance Health (Ashburn, VA)
- …Experiences** : + BA/BS preferred. + Experience with vendor based Diagnosis-Related Group ( DRG ) Coding / Clinical Validation Audit setting or hospital ... **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS- DRG ,...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… more
- Elevance Health (Chicago, IL)
- …Inpatient Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical ... **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP-...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Community Health Systems (Franklin, TN)
- …both RAC and non-RAC accounts, reviewing patient records for accuracy in ICD-10-CM/PCS coding , DRG assignments, and supporting clinical documentation. This ... provides audit feedback to relevant parties, including coders and coding managers , to improve coding ...Functions** + Performs inpatient denial reviews using ICD-10-CM/PCS and DRG validation utilizing appropriate coding references for… more
- University of Utah Health (Salt Lake City, UT)
- …by participating in the CDI query audit process. + Works effectively with the Coding Manager to improve Inpatient coding accuracy. **Knowledge / Skills ... audits the accuracy and completeness of diagnosis and procedure coding , DRG assignment, and abstracted data to...of HIM Management. + Four years of experience with coding ICD-10. + Clinical Coding … more
- Sharp HealthCare (San Diego, CA)
- …in ICD-10-CM/PCS coding , DRG coding and CPT coding classification. + Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides ... coding or professional E/M coding in the following coding systems: ICD-10-CM/PCS, DRG , CPT& HCPCs, and/or E/M CPT. **Preferred Qualifications**… more
- UPMC (Pittsburgh, PA)
- …of the coding personnel from focus chart audits and report this information to the Coding Manager on a monthly basis. + Provide coding staff with updates ... as necessary. + Counsel/train coders on problems when necessary in coordination with the Coding Manager and/or Coding Specialist and assist in correcting… more
- St. Luke's University Health Network (Allentown, PA)
- …including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and ... APR- DRG for the purpose of appealing proposed DRG and coding changes by insurance providers...helpful, with focus on MS- DRG reimbursement, AHA coding guidelines, and compliance or direct Clinical … more
- Hartford HealthCare (Farmington, CT)
- … methodologies (MS- DRG , APR- DRG , Tricare, etc.) . IP Rehabilitation coding rules for IRF-PAI . Clinical information related to areas of responsibility ... policies and procedures *_Working Relationships:_* This position reports to Inpatient Coding Manager *Education* . Associate's Degree or equivalent experience… more