Assistant Manager, DRG Review - Roseville, CA

We are constantly reimagining what's possible in our industry—creating disruptively simple, powerfully clear ways to maximize our clients' financial outcomes today and drive down healthcare costs tomorrow. · ...

As a DRG Auditor at Machinify, you will conduct thorough payment validation reviews of medical records and related documentation. Audit patient medical records using clinical and coding guidelines to ensure accurate reimbursement. · ...

Reviews inpatient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. · ...

Machinify is a leading healthcare intelligence company with expertise across the payment continuum. We're constantly reimagining what's possible in our industry. · ...

Reviews inpatient records to identify diagnosis codes performed during patients stay are valid according to coding conventions. · ...

The DRG Manager will be responsible for developing and managing clinical solutions, including MS and APR-DRG validation. · This role requires expertise in healthcare payment methodologies and audit/review criteria to target key claims for review/recovery. · ...

Reviews inpatient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. · ...

The DRG Clinical Validation Director is responsible for developing and managing clinical validation solutions. · Strategic Planning & Vision: Develop strategic plans to grow the DRG CV program. · Collaborative Development: Collaborate with teams to bring ideas from creation to im ...

Reviews inpatient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. · ...

Machinify is a leading healthcare intelligence company with expertise across the payment continuum delivering unmatched value transparency and efficiency to health plan clients across the country. · We re constantly reimagining what s possible in our industry creating disruptivel ...

Reviews, evaluates and assesses medical records of patients to ensure the overall quality and completeness of clinical documentation. · Looks for specificity of an illness, accuracy of clinician's documentation, coding requirements and documentation of important medical details. ...

· Reviews inpatient records to identify diagnosis and procedure codes performed during patients stay are valid and in accordance with coding conventions and guidelines · ...

Reviews and evaluates medical records of patients to ensure quality and completeness. · ...

+Job summary · Performs quality reviews and audits to ensure compliance with DRG validation, ICD-10/PCS, and CPT coding guidelines. · +Prepares detailed audit reports outlining findings, recommendations, rationale, and corrective actions needed. · Facilitates the coder appeal pro ...

+Job summary · We are so glad you are interested in joining Sutter Health · +Graduate of an accredited school of nursing · +Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient experience. · + ...

This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of patients to the appropriate level of care. · Collaborates with patients, families, physicians, the interdisciplina ...

We are seeking a Registered Nurse to join our team at Sutter Health. As a Care Manager, you will be responsible for coordinating patient care across the continuum. · ...

We are seeking a Registered Nurse to join our team at Sutter Health. · Care Coordination and Care Transitions Planning throughout the acute care patient experience. · ...

We are so glad you are interested in joining Sutter Health Organization SMCS-Valley Administration Position Overview Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient experience This position works in collaboration with the Physicia ...

This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of patients to the appropriate level of care to prevent unnecessary admissions or readmissions. · The goals of this r ...