DRG Coding Specialist
3 weeks ago
Job Summary:
TAL Healthcare is seeking a skilled DRG Coding Specialist to join our team. As an Inpatient DRG Validator, you will be responsible for ensuring the accuracy of coding and provider documentation in compliance with Uniform Hospital Discharge Data Set (UHDDS) and Medicare guidelines.
Key Responsibilities:
- Perform concurrent and retrospective clinically based and MS-DRG and APR DRG validation reviews.
- Review the correct assignment of ICD-10-CM diagnosis & ICD-10-PCS procedure codes.
- Effectively utilize facility Encoders, EMRs, abstracting systems, and auditing tools proficiently to make audit determinations.
- Write clear, accurate, and concise rationales supporting audit findings.
- Compose physician queries for clarification of documentation.
- Provide coder education referencing applicable coding references following audits.
- Review DRG/coding denial letters and compose effectively supported appeal response letters to third-party auditors and insurance carriers.
- Provide written recommendations for optimal coding and DRG / SOI assignment.
- Maintain proficiency on the Official Coding Guidelines for Coding and Reporting and AHA Coding Clinics.
Requirements:
- Must have one of the following AHIMA certifications: CCS, RHIT, or RHIA
- Extensive knowledge of medical terminology, anatomy, coding terminology, and coding guidelines for ICD-10-CM/PCS, CPT, Modifiers, etc.
- Equivalent experience of 5+ years in DRG/Clinical Validation claims auditing, quality assurance, or recovery auditing.
- Minimum of 5+ years of working with ICD-10-CM/PCS, MS-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems and payer reimbursement policies.
Salary: $80,000 - $110,000 per annum, depending on experience and qualifications.
-
DRG Coding Specialist
3 weeks ago
New York, New York, United States TAL Healthcare Full timeWe are seeking an experienced DRG Coding Specialist to join our team at TAL Healthcare. As a key member of our recruitment solutions, you will be responsible for auditing inpatient medical records, ensuring the accuracy of coding, provider documentation, and DRG assignment.Responsibilities:Perform concurrent and retrospective clinically based and MS-DRG and...
-
Medical Coding Specialist
2 days ago
New York, New York, United States TAL Healthcare Full timeAbout the RoleWe are looking for a highly skilled DRG Validator to join our team at TAL Healthcare. As a DRG Validator, you will be responsible for validating the accuracy of coding, provider documentation, and DRG assignment in inpatient medical records.This role requires an extensive background in inpatient DRG coding, a deep understanding of MS-DRG and...
-
DRG Validator Specialist
3 weeks ago
New York, New York, United States TAL Healthcare Full timeJob OverviewWe are seeking a highly skilled DRG Validator to join our team at TAL Healthcare. As a key member of our healthcare recruitment solutions, you will be responsible for ensuring the accuracy and compliance of coding practices in various healthcare settings.The estimated salary for this position is $85,000 - $110,000 per year, depending on...
-
DRG Validator Expert
2 days ago
New York, New York, United States TAL Healthcare Full timeJob OverviewThe TAL Healthcare company is seeking a skilled DRG Validator to join our team. As a DRG Validator, you will be responsible for ensuring the accuracy of coding, provider documentation, and DRG assignment in inpatient medical records.This is a challenging yet rewarding role that requires an extensive background in inpatient DRG coding, a deep...
-
Inpatient DRG Validator
3 weeks ago
New York, New York, United States TAL Healthcare Full timeTAL Healthcare is seeking an experienced Inpatient DRG Validator to join our recruitment solutions team. As a key member of our team, you will be responsible for auditing inpatient medical records, ensuring the accuracy of coding, provider documentation, and DRG assignment.Key Responsibilities:Perform concurrent and retrospective clinically based and MS-DRG...
-
Healthcare Professional
2 days ago
New York, New York, United States TAL Healthcare Full timeJob DescriptionTAL Healthcare is seeking a highly skilled DRG Validator to join our team. As a DRG Validator, you will be responsible for ensuring the accuracy of coding, provider documentation, and DRG assignment in inpatient medical records.This role requires an extensive background in inpatient DRG coding, a deep understanding of MS-DRG and APR-DRG...
-
Clinical Coding Specialist
4 weeks ago
New York, New York, United States Accuity Full timeJob Title:Clinical Coding SpecialistAbout Us:Accuity, a pioneer in the Clinical Documentation Process, seeks skilled professionals to enhance our team nationwide.Job Summary:The Inpatient Coding Reviewer performs secondary reviews of medical records, ensuring accurate DRG assignment through expertise in Accuity technology and client systems, adhering to...
-
Healthcare Coding Specialist
3 weeks ago
New York, New York, United States Momentum Resource Solutions Full timeJob Title: Healthcare Coding SpecialistJob DescriptionMomentum Resource Solutions is a leading provider of innovative workforce solutions. We are seeking an experienced Healthcare Coding Specialist to join our team. As a Medical Coder, you will play a critical role in ensuring the accuracy and completeness of patient medical records. This position requires...
-
Inpatient DRG Validator
3 weeks ago
New York, New York, United States TAL Healthcare Full timeJob Description:TAL Healthcare is a full-service healthcare recruitment solutions provider, and we're looking for a highly skilled Clinical Validation Auditor to join our team. As an Inpatient DRG Validator, you will play a critical role in ensuring the accuracy of coding and provider documentation in compliance with Uniform Hospital Discharge Data Set...
-
Visionary Architectural Director
5 days ago
New York, New York, United States DRG Architects Full timeCandidate QualificationsExperience: 15+ years of experience in architecture, with a strong background in architectural detailing, building systems coordination, and technical design.Education: Bachelor's degree in Architecture required; architectural registration in New York State mandatory.Technical Proficiency: Expertise in architectural building systems,...
-
Clinical Coding Auditor Expert
3 weeks ago
New York, New York, United States TAL Healthcare Full timeAbout the RoleTAL Healthcare is seeking an experienced Clinical Coding Auditor to join our team. The successful candidate will be responsible for ensuring the accuracy and integrity of coding practices in various healthcare settings.The estimated salary for this position is $90,000 - $120,000 per year, depending on experience and location.Key...
-
Clinical Data Specialist
3 weeks ago
New York, New York, United States Alaffia Health Full timeAbout Alaffia HealthAt Alaffia Health, we are pioneering the use of cutting-edge AI tools to revolutionize clinical decision-making and payment integrity processes. Our team is seeking a highly skilled Clinical DRG Validation Specialist to contribute to the development and training of our GPT-based clinical tools.Key Responsibilities:Annotate Medical...
-
Inpatient/Outpatient Coding Consultant
2 days ago
New York, New York, United States Athari Full timePosition SummaryAthari is seeking an experienced Inpatient/Outpatient Coder to join our team. The successful candidate will be responsible for conducting coding audits and education for providers with greatest opportunity for improvement.Key ResponsibilitiesReview medical records to ensure accuracy and integrity.Develop educational programs to improve...
-
Healthcare AI Analyst
3 weeks ago
New York, New York, United States Alaffia Health Full timeAbout Alaffia HealthWe're a leading healthcare innovation company that's leveraging AI to transform clinical decision-making and payment integrity processes. Our team is searching for a skilled Clinical DRG Validation Specialist to help develop and train our GPT-based clinical tools. This role offers a unique opportunity to make a significant impact in U.S....
-
Cardiology Coding Specialist
6 days ago
New York, New York, United States Banner Health Full timeBanner Health is seeking a Cardiology Coding Specialist to join their team. The successful candidate will have significant experience in coding services, preferably within a broad range of healthcare facilities.Key ResponsibilitiesAbstracting information from complex cardiology operative reports and appending CPT/CDM numbers and supplies into our charge...
-
Medical Documentation Specialist
5 days ago
New York, New York, United States Memorial Sloan Full timeJob SummaryWe are seeking a skilled Clinical Documentation Integrity Liaison to join our Health Information Management team. As a Clinical Documentation Integrity Liaison, you will facilitate communication between the Clinical Documentation Integrity team, Coding team, healthcare providers, and relevant parties to ensure accurate documentation.Key...
-
Clinical Validation Auditor
5 days ago
New York, New York, United States EXL Service Full timeAbout EXL ServiceEXL (NASDAQ: EXLS) is a global analytics and digital solutions company that partners with clients to improve business outcomes and drive growth. Our expertise lies in creating agile, scalable solutions and executing complex operations for leading corporations across various industries.Salary and BenefitsThe base salary range for this...
-
Medical Coding Specialist
3 weeks ago
New York, New York, United States Momentum Resource Solutions Full timeJob OverviewMomentum Resource Solutions is seeking a skilled Medical Coding Specialist to join our team in a remote position.The ideal candidate will have a strong background in medical coding and experience working with various coding systems. This role requires attention to detail, excellent analytical skills, and the ability to work independently.We offer...
-
Medical Coding Specialist
4 weeks ago
New York, New York, United States RCM Health Care Services Full timeJob OverviewAs a Medical Coding Specialist at RCM Health Care Services, you will play a vital role in ensuring accurate and efficient coding practices. With our team, you will have the opportunity to work with a variety of healthcare clients, utilizing your expertise to improve data quality and support reimbursement outcomes.
-
Clinical Documentation Specialist
5 days ago
New York, New York, United States Memorial Sloan Kettering Full timeJob OverviewMemorial Sloan Kettering Cancer Center is seeking a skilled Clinical Documentation Specialist to join our Health Information Management team. In this critical role, you will facilitate communication between various stakeholders to ensure accurate and compliant clinical documentation.Key ResponsibilitiesCollaborate with clinicians, coders, and...