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This position requires certification as a Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Reviews DRG discrepancies from the fiscal intermediary to ensure the appropriate per case DRG assignment.
$37 - $40 an hourExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Registered Health Information Management Administrator (RHIA) or Technician (RHIT) graduate of an approved college program for Health Information Management or graduate of the American Medical Record Associates Independent Study Course for Medical Record Technicians is required.
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Coding credential required from AHIMA/AAPC (RHIA, RHIT, CCS and/or CPC, or CIC) Review pre-bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment.
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Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) required. Bachelor's Degree and 10 years relevant CPT-4 coding and/or ICD-10 diagnosis and procedure coding for outpatient, inpatient, MS-DRG assignment and professional coding experience required.
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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.
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Experience and knowledge in DRG reimbursement (i.e., MS-DRG, APR-DRG) Knowledge of legal, regulatory, and policy compliance issues related to medical coding and documentation. Experience and knowledge in DRG reimbursement (i.e., MS-DRG, APR-DRG.
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Position Title: DRG Integrity Specialist. Department: DRG Integrity. Advanced knowledge of medical coding, electronic medical record systems, coding systems. Knowledge of current and developing issues and trends in medical coding diagnosis and procedure code assignment.
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Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, and client denials. Associates Degree in Health Information Management or similar preferred. Attends in-house training sessions to receive updated coding information and changes in coding and/or regulations.
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Actively seek to obtain certification with American Health Information Management Association (AHIMA) as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) and/or Registration with American Association of Professional Coders (AAPC) as a Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC) or other equivalent coding certification.
$17.39 - $28.4 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Licensure and Certifications: CCDS, CCDS-O, CDIP, RHIA, or RHIT required. Serve as a liaison between providers and coding staff to link coding guidelines and medical terminology to improve the accuracy of final codes and DRG assignment.
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BSN, RN, RHIA, RHIT, CCS, CCDS, CDI-P, or combination thereof, preferred. Ability to use ICD-10 and PCS coding systems, abstract information from charts and apply appropriate DRG. Knowledge of care delivery documentation systems and related medical record documents.
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Assigns and sequences diagnosis and procedure codes using appropriate classification systems and official coding guidelines to insure that DRG (Diagnosis-related group) or APC (Ambulatory Payment Classification) assignment is correct.
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RHIA, RHIT, CCS or CPC-H credentials. Keep knowledge of coding and DRG assignment current by reviewing federal publications and other reference materials for changes in regulations and practice guidelines.
$24.5 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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LICENSES / CERTIFICATIONS REQUIRED RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician) certified. Knowledge of MS-DRG classification system.
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RHIA, RHIT and/or CCS eligible or currently enrolled in a Health Information Technology or other health-care related program desired. Utilizes the 3M Encoder to verify and assign ICD-9-CM and CPT-4 codes, and MS-DRG/APR-DRG assignment.
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