- Zelis (TX)
- Position Overview: The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient ... rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official… more
- R1 RCM (Detroit, MI)
- …facing Mentor role. Every day in this role you will: . Review inpatient medical records for validation of DRG assignment . Provide detailed rationale and ... Coding and Documentation Auditor II, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of… more
- R1 RCM (Boise, ID)
- …facing Mentor role. Everyday in this role you will: + Review inpatient medical records for validation of DRG assignment + Provide detailed rationale ... Coding and Documentation Auditor I, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of… more
- Banner Health (NE)
- … inpatient records using ICD CM and PCS coding classification systems. Completes MS- DRG and APR- DRG assignments on inpatient records as appropriate. ... Banner Health. Looking for a motivated, experienced **Senior Complex Inpatient Facility | Acute Care | HIMS Coder -Remote...coding expectation is 1-2 charts per while maintaining a DRG accuracy rate of 95% or higher. We use… more
- RWJBarnabas Health (West Orange, NJ)
- …environment. Essential Functions: + Ensures accuracy and integrity of ICD-10-CM Coding and DRG assignment for inpatient accounts for the purpose of maintaining ... System Inpatient Coding Audit and Query Manager - West...coding, abstracting, data entry, discharge disposition, POA indictors and DRG assignment. This position will also oversee the physician… more
- Spaulding Rehabilitation (Charlestown, MA)
- …diagnosis, comorbidities and complications care mix group (CMG IRF) and diagnosis-related group ( DRG LTCH) b. documents review details for metrics, trending, and ... requirements preferred. * Basic knowledge of coding/classification systems appropriate for inpatient CMG and DRG prospective payment systems. * Computer… more
- University of Miami (Hialeah, FL)
- …Coders, Quality, and other relevant multidisciplinary teams. The concurrent inpatient quality reviewer will assign a working DRG , as well as capture and ... supported by the health record. + Examine and ensure that the MS- DRG , APR- DRG , SOI, and ROM of each inpatient encounter is compatible and compliantly… more
- SSM Health (MO)
- …the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate diagnosis review group ( DRG ) assignment, risk of mortality (ROM), and ... services rendered. The CDI Specialist assesses clinical documentation through extensive review of the medical record, interaction with physicians, nursing staff,… more
- The Mount Sinai Health System (New York, NY)
- …beyond what is found in the medical record. 7. Performs data quality reviews on inpatient records to validate the ICD-9-CM codes, MS- DRG or AP- DRG , APR- ... **JOB DESCRIPTION** The DRG Appeals Analyst - CDI Liaison is responsible...assigned by the client was properly assigned based upon review of the medical documentation and application of the… more
- Elevance Health (Indianapolis, IN)
- …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 (DIAGNOSTIC RELATED GROUP) CODING AUDITOR** **Location** :...**DIAGNOSTIC RELATED GROUP CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims… more