As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment. This function

Performs review of the medical record including documentation, reports, flowsheets, and test results, applying evidence based criteria related to DRG and clinical validation denials Creates appeal letters utilizing the relevant information from the medical record; supported by current clinical standards and facility guidelines, evidence based medicine, professionally reco

A day in the life of a Inpatient Coding/Quality Educator at Hackensack Meridian Health includes Develop and administer curriculum for inpatient coder trainees to acquire the knowledge and skills necessary for competency in accordance with the stipulations of professional and accreditation agencies. Provide regular feedback to the employee based on results of reviewing the

Universal Health Services, Inc. (UHS) knows what it takes to lead, inspire and succeed. One of the Nation's largest and most respected Hospital companies, UHS achieved its success by always adhering to an effective operating philosophy Build or acquire high quality hospitals in rapidly growing markets, then invest in the people and equipment needed to allow each facility

Accurately scribe as the physician is examining patient Maintain adherence to transcription quality assurance standards Demonstrate appropriate grammar, punctuation and style standards when transcribing/ editing provider dictations Demonstrate knowledge of anatomy, physiology and pharmacology Demonstrate knowledge of medical terminology for appropriate medical specialties

The DRG Validation Nurse Reviewer will be primarily responsible for conducting post service, pre payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD 10 Official

The Certified Edit Dispute Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product. The Certified Edit Dispute Resolution Analyst demonstrates an understanding of Zelis edits as an in

Reporting to the Registrar, the Manager, Student Records Systems provides direct support and technical expertise to the Office, Student Affairs Division and various College constituents. The Manager, Student Records Systems is responsible for day to day administration and oversight of student records administrative system including monitoring, updating, and maintaining th

You creatively strategize, motivate clinicians, and elicit achievement. In this role, you will lead and manage Clinical Education Managers within a specific geographical area providing daily coaching, training, and mentoring while setting performance expectations for day to day activity. You will Conduct call monitoring, distance coaching, and field visits contributing to

Patient Account Registrar Facility St. Clare's Denville Location US NJ Denville ID 2023 147113 Category Admin Position Type Per Diem Shift Days Job Type Non Exempt Overview At Saint Clare's Health, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Saint Clare's Health is actively see

Accurately scribe as the physician is examining patient Maintain adherence to transcription quality assurance standards Demonstrate appropriate grammar, punctuation and style standards when transcribing/ editing provider dictations Demonstrate knowledge of anatomy, physiology and pharmacology Demonstrate knowledge of medical terminology for appropriate medical specialties

A day in the life of a Inpatient Coder at Hackensack Meridian Health includes Assigns International Classification of Diseases (ICD) 10 CM Clinical Modification (CM) and ICD 10 Procedure Coding System (PCS) codes creating diagnosis related group (DRG) assignments. Abstracts pertinent information from patient records. Sequence the diagnosis and procedures using coding guid

At Virtua Health, we exist for one reason to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life changing care, or something in between we are your partner in health devoted to building a healthier community.If you live o

Pre Analytical Assistant II Clifton, NJ Monday to Friday 8 00AM 5 00PM The Pre Analytical Assistant II in the Tech Ops Department is responsible for knowingall ofthe functions of the Pre Analytical Assistant I, plus additional functions. Pay Range $19.10+ per hour Salary offers are based on a wide range of factors including relevant skills, training, experience, education

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovativ