Assigns appropriately sequenced and compliant ICD 10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS DRGs, APR DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or compute

Performs other duties as assigned Minimum Qualifications Education High School Diploma or GED required.Associates or Bachelor's degree in HIM/HIT preferred. Experience One (1) year acute care observation and/or same day surgery hospital outpatient coding experience required. Three (3) years healthcare experience preferred. An equivalent amount of education or experience m

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Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

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

Responsible for ensuring total customer satisfaction within the Werfen installed base. Preform installations, validations/verification and training on Werfen analyzers. Provide on going clinical support, customer education and consult with customers regarding matters of regulatory requirements and compliance. Responsibilities Key Accountabilities Performs Werfen instrumen

Position Description Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW ... change making for a healthier Wisconsin. As a Quality Coding Analyst I, you will serve as an expert resource for multi specialty documentation, coding and billing. Works as an extension to the Charge Capture Supervisory Team to moni

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 Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp