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

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

Provides support to assist the Records Management Department in the delivery of various services for all company employees. Under general supervision, processes various documents for storage and retrieval; perform a wide variety of complex and confidential duties requiring analysis and attention to detail. Essential Job Responsibilities Assist departments with the developm

Senior Coder Remote. Most States Eligible. Applies ICD 10/CM/PCS and CPT 4 codes to medical records based on documentation provided by physicians. Adheres to strict federal coding rules and guidelines in selecting codes that appropriately reflect the condition, which the patient had, severity of illness and the care that was provided. Abstracts clinical and statistical in

Coding Quality Auditor 100% Remote, Most States Eligible. One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC's objective is to ensure our core strategy, One Mi

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

Coder Remote, Most States Eligible. Under the direction of the Coding Manager, the Coder appropriately assigns MS/DRG's, ICD, and CPT codes to all account types according to American Hospital Association (AHA) and Uniform Hospital Discharge Set (UHDDS) guidelines. This individual abstracts clinical data and assists in regular analyses of patient records. In addition, the

Coder 100% Remote, Most States Eligible Under the direction of the Coding Manager, the Coder, Emergency Department Remote appropriately assigns MS/DRG's, ICD, and CPT codes to all account types according to American Hospital Association (AHA) and Uniform Hospital Discharge Set (UHDDS) guidelines. This individual abstracts clinical data and assists in regular analyses of p

We are currently offering remote work from one of our footprint states which are inclusive of AK, WA, OR, MT, CA and or TX Providence is seeking a Clinical Informatics Specialist who will Serve as a professional role model in promoting the understanding, integration, and application of information technology in healthcare settings. Act as a liaison between clinical care a

Coding Quality Auditor 100% Remote, Most States Eligible. The Coding QI Compliance Auditor and Trainer II is critical to the coding compliance program. By performing audits of hospital coding, training new coding staff, preparing and presenting educational sessions for the coders and staying current with official coding guidelines and regulations, the incumbent ensures th

Coder 100% Remote, Most States Eligible Under the direction of the Coding Manager, the Coder appropriately assigns MS/DRG's, ICD, and CPT codes to all account types according to American Hospital Association (AHA) and Uniform Hospital Discharge Set (UHDDS) guidelines. This individual abstracts clinical data and assists in regular analyses of patient records. In addition,

Providence St. Joseph Health is calling a Senior Coder, Inpatient to work remotely within our footprint states AK, CA, MT, OR, TX and/or WA. Applies ICD 10/CM/PCS and CPT 4 codes to medical records based on documentation provided by physicians. Adheres to strict federal coding rules in selecting codes that appropriately reflect the condition, which the patient had, and th

Associate Coding Quality Auditor Remote, Most States Eligible. Revenue Cycle is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC's objective is to ensure our core strategy, One Ministr