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Accuity
Jacksonville, FL, United States
Job Type Full-time Description POSITION SUMMARY: 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 s
Job Source: AccuityAccuity
Jacksonville, FL, United States
Job Type Full-time Description POSITION SUMMARY: The Medical Director, working together with a coder (DRG Integrity Specialist), will review inpatient charts to ensure the acuity and complexity of the patient's hospital stay is appropriately captured in the clinical documentation and translated into coding. The Medical Director is responsible for
Job Source: AccuityAccuity
Jacksonville, FL, United States
Job Type Full-time Description The Appeals and Denials Specialist is responsible for triaging and writing DRG downgrades and clinical validation appeal letters for multiple clients. The Appeals and Denials Specialist will ensure appropriate action is taken within appeal deadlines. This position collaborates with the Appeals and Denials team and o
Job Source: AccuityAccuity
Jacksonville, FL, United States
Job Type Full-time Description The Inpatient Coder II is the second level coding position in a 3-tier career ladder. Inpatient Coder IIs will evaluate inpatient medical records and accurately assign the appropriate ICD-10 CM/PCS codes, Present on Admission (POA) indicators, and relevant DRGs. The Coder II must be skillful in the identification and
Job Source: AccuityHALO Precision Diagnostics
Jacksonville
Job Description Job Description Saving Lives with Early Detection Precision Imaging Centers are now hiring a full time IT Specialist for our diagnostic medical imaging administrative offices in Jacksonville FL. The ideal candidate will have at least 3 years of experience in IT. We are growing in northeast Florida. Come grow your career with us!
Job Source: HALO Precision DiagnosticsRARE Hospitality Management, LLC.
Jacksonville, FL, United States
Great Food, Packaged with care to go with you ANYWHERE. The To Go Specialist position is all about: Ensure that we package food for convenience without compromising quality Build Guest Loyalty with order accuracy and on time delivery Focus on clean and sanitized Guest touch points and work area Working together as a team to deliver a great LongHorn
Job Source: RARE Hospitality Management, LLC.HALO Precision Diagnostics
Jacksonville, FL, United States
Job Description Job Description Saving Lives with Early Detection Precision Imaging Centers are now hiring a full time IT Specialist for our diagnostic medical imaging administrative offices in Jacksonville FL. The ideal candidate will have at least 3 years of experience in IT. We are growing in northeast Florida. Come grow your career with us!
Job Source: HALO Precision DiagnosticsHalo Dx, Inc.
Jacksonville, FL, United States
We seek driven and compassionate pioneers in an array of professional fields to help bring our vision of a new and powerful healthcare experience to life. HALO Precision Diagnostics is the leader in early disease detection and is dedicated to our mission of saving lives with precision diagnostics. Our team has set out to do something exceptional by
Job Source: Halo Dx, Inc.Jacksonville, FL, United States
Description
POSITION SUMMARY:
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 requires a broad knowledge of the compliance structure to support the appropriate reimbursement.
PRIMARY JOB RESPONSIBILITIES:
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 needed
Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, and client denials
Possesses a high level of dependability and ability to meet Accuity coding recommendations, accuracy rate, and production standards
Interacts with Accuity physicians, peers, CDIS, and management regarding documentation, policies, procedures, and regulations
Interacts with management on an ongoing basis including assisting senior level staff in providing recommendations for process improvement so that productivity and quality goals can be met or exceeded, and operational efficiency and financial accuracy can be achieved
Reviews, develops, modifies, and/or adapts relevant client procedures, protocols, and systems to coordinate with Accuity methodology
Creates and provides group education and training based on accurate coding practices, coding compliance documentation, and regulatory provisions
Attends in-house training sessions to receive updated coding information and changes in coding and/or regulations
Adheres to stringent timelines consistent with project deadlines and directives
Ensures strict confidentiality of patient medical records
Always acts in an ethical and collaborative manner while monitoring own work to help ensure quality
Codes medical records as needed based on organizational needs
Performs miscellaneous job-related duties as assigned
Requirements
POSITION QUALIFICATIONS:
Education :
High School Diploma or GED required
Associates Degree in Health Information Management or similar preferred
Experience:
Minimum 4 years of inpatient coding experience in hospital facility coding
Minimum 2 years of experience that is directly related to the duties and responsibilities specified above
Experience and knowledge in DRG reimbursement (i.e., MS-DRG, APR-DRG)
Licensure and/or Credentials:
Coding credential required from AHIMA/AAPC (RHIA, RHIT, CCS and/or CPC, or CIC)
Knowledge, Skills, and Abilities:
Knowledge of auditing concepts and principles
Expert of coding guidelines
Ability to use independent judgment and to manage and impart confidential information
Advanced knowledge of medical coding, electronic medical record systems, coding systems
Critical thinking skills to analyze and solve problems
Strong communication and interpersonal skills
Knowledge of legal, regulatory, and policy compliance issues related to medical coding and documentation
Knowledge of current and developing issues and trends in medical coding diagnosis and procedure code assignment
Ability to clearly communicate medical information to physicians and CDIS staff
Ability to provide guidance and training to when needed
Ability to use a PC in a Windows environment, including MS Word
Independent, focused individual able to work remotely or on-site
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DRG Integrity Specialist jobs in Jacksonville, FL, United States
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