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Proactively manages facility CDI and HSC MS-DRG discrepancy request reviews (including corresponding communications, escalation paths and tracking/trending/comparison of data) Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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For inpatient coding enters coded/abstracted information into the 3M Encoder assigning the accurate MS-DRG or APR-DRG through use of the clinical analyzing functions used in the coding process.
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O Assignment of initial DRG to determine GMLOS, while concurrently monitoring and managing LOS and transition planning. Three (3) years of experience in chronic disease management, care management, care coordination, utilization management, or acute clinical care.
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Housed in Denver, DRG brings together some of the country's best-known brands, leveraging an industry-leading platform with a clear vision for continued growth. Dividend Restaurant Group (DRG) was built on the core belief that the foundation of a company is defined by the character of the team, the versatility of its systems and the discipline of its actions.
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Knowledge of Ambulatory Payment Classifications (APC), Diagnosis Related Group (DRG) and Fee-For-Service (FFS) reimbursement methodologies preferred. Knowledge of Ambulatory Payment Classifications (APC), Diagnosis Related Group (DRG) and Fee-For-Service (FFS) reimbursement methodologies preferred.
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Updates Clinical Documentation working DRG. Sends accounts to the coding validation software program upon which a validator reviews selected cases. Acts as a resource to physicians and other staff on coding principals guidelines and DRG assignments and/or outpatient coding issues.
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Experience or understanding of Medicare and Medicaid claims, ICD10 codes, HCPCS, Diagnosis Related Groups (DRG). Proficient in project software such as SAS/SQL, Python/PySpark, Snowflake, R, Databricks CMS cloud environments.
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Current knowledge of coding methodologies such as ICD.9, ICD.10, HCPCs, CPT, discharge data setsreporting for OSHPD, POA reporting, MS-DRG, NCD/LCD. Current knowledge of coding methodologies such as ICD.9, ICD.10, HCPCs, CPT, discharge data setsreporting for OSHPD, POA reporting, MS-DRG, NCD/LCD.
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Determines appropriate MS-DRG or APR-DRG assignment for optimal classification and accurate andcompliant clinical reporting. Coding certification required from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC.
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Manipulates and extracts Medicare, Medicaid, and other healthcare claims data stored in Cloud environment using appropriate software such as SAS, Snowflake, Python, R, SQL, and other software as appropriate for the task.
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Visual acuity to read large amounts of data ability to use hands with finger dexterity to enter data on a computer keyboard and to bend and stoop to file records. Trained in anatomy physiology and disease processes.
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Assists the Coding Manager with the review of staff (Inpatient and Outpatient) (ICD-CM and PCS, CPT, HCPCS DRG or APC) assignments for accuracy and assurance of adherence to the Official Coding and Reporting Guidelines.
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DRG is looking for energetic, enthusiastic individuals to join our team as Team Members! DRG currently operates Taco Bell restaurants in California, Kansas, Missouri, and Nevada along with Arby's restaurants in Alaska, California, and Nevada.
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Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products.
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Thorough understanding of claims and healthcare terminology and codes as published by CPT, ICD, HCPCS, and DRG manuals. The ideal candidate is an accomplished subject matter expert who is passionate in making a real impact on preserving the Medicare Trust Fund. He/she should be a confident public speaker with excellent written and oral presentation skills.
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