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

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 working as a member of the Materials Management team to ensure the needs for supplies and equipment in the Hospital are met. Accurately inventories, orders, receives, picks and distributes materials to meet demands. Processes supplies and equipment by cleaning, packaging, sterilizing and storing as assigned in accordance with established policies and proce

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

ROI Supervisor Job Locations US SC Columbia | US SC Rock Hill | US SC Charleston | US SC Fort Mill | US SC Hilton Head Island Requisition ID 2024 34825 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions

The Medical Records Specialist/Coder supports the medical records department through a variety of clerical, technical and related support services. Responsibilities include, but are not limited to Codes discharged patients' accounts. Prepares the patient chart for discharge process and assembles components in the correct order. Assigns and abstracts medical and consultant