’s and final coding. Acts as a formal liaison with CDI Medical Director or hospital CMO’s if needed, including communicating the..., such as 3M 360 / Coding & Reimbursement, MS Office: Word, PowerPoint and Excel; and use of electronic medical records - Cerner...
’s and final coding. Acts as a formal liaison with CDI Medical Director or hospital CMO’s if needed, including communicating the..., such as 3M 360 / Coding & Reimbursement, MS Office: Word, PowerPoint and Excel; and use of electronic medical records - Cerner...
Documentation Improvement Program. Provides Hospital Coding Specialists and CDI Specialists with clear guidance on coding and DRG... assignment. Oversees education to this group no less than twice a year on coding and DRG updates. Reviews CDI monthly statistics...
. 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...
and provides detailed feedback to the Revenue Cycle Director and Audit Specialists. Assists in resolving claim edits... JOB FUNCTIONS Reviews, analyzes, and interprets the complete electronic medical record (EMR) after initial coding to identify...
. Key responsibilities include analyzing audit data to identify areas of concern, collaborating with auditees, providers... Manager effectively communicates audit findings through reports, presentations, and educational materials tailored...
for, Director, Senior Director and COO. * Work closely with PR Systems, Data and Audit staff to ensure accuracy of contractual... with medical provider contracting using various reimbursement models including capitation, fee-for-service, per diem, DRG, pay...
for the administration of the Sharp HealthCare's (SHC's) compliance audit program. The position provides oversight... and maintenance of a high-quality, effective, best practices coding, billing, and reimbursement audit compliance program to prevent...
with specific government programs focus Knowledge of Recovery Audit Contractor Program Knowledge of ICD 9/10, CPT, HCPCS & MS-DRG... care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation...
and prioritizing medical necessity to defend inpatient status. This role involves managing comprehensive, audit-ready case files... integrity, strengthen audit readiness, and enhance clinician education. Essential Key Job Responsibilities Conducts medical...
of a 302-bed hospital, 11 medical offices, home care services, comprehensive cancer care and a vast scope of award-winning... medical records and clinical documentation to ensure proper patient status placement, accurate coding, and defensible payer...
coding includes ICD-10-CM, ICD-10-PCS, possible CPT, DRG and query reviews based on medical record documentation. Inpatient..., remote, hourly position. Reports to: Director of Facility Coding and Audit and/or Manager of Facility Coding and Audit...
Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group... with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical...
medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical... research, medical education, a foundation, an accountable care organization, community services and more. With nearly...
and supported by clinical documentation in the medical record. Identify documentation improvement opportunities in DRG, APC, CPT... States of America) Job Summary: The Coding Data Quality Supervisor oversees the day-to-day coding audit/analyst work...
medical guidance and support to the VP of Patient Logistics and Care Coordination as well as the Director(s) of Care... and or participate in recovery audit contractor reviews. Assist Hospital Administration and the Medical Staff in connection...