projects. Performs and finalizes multiple per diem, bill verification, DRG Validation (utilization review audits) and credit... care hospital or other health care facility. Experience with DRG validation, ICD-10-CM/PCS training and education...
is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data... coding. Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate...
and education to our remote DRG Validation Specialists utilizing core coding and clinical information. We are seeking self-motivated.... Connecting. Growing together. The Senior Clinical Appeals RN utilizes subject matter expertise in MS-DRG and APR-DRG auditing...
and education to our remote DRG Validation Specialists utilizing core coding and clinical information. We are seeking self-motivated.... Connecting. Growing together. The Senior Clinical Appeals RN utilizes subject matter expertise in MS-DRG and APR-DRG auditing...
in code and/or DRG assignment. Communicates findings of secondary reviews to respective Clinical Documentation Specialist... documentation, or CDI second level review or inpatient coding quality review and/or DRG validation with a strong understanding...
Coding Department and the Clinical Documentation Specialist to reconcile discrepancies in code and/or DRG assignment..., and encoders to optimize workflow and boost productivity. Apply the principles of clinical validation and ensure that queries...
for clinical and coding denials that are received from the insurer/auditor. Work collaboratively with all members of the Memorial... Healthcare team, Clinical Documentation Integrity (CDI), Coding and Revenue Cycle teams to initiate and resolve Clinical DRG...