7 jobs found in Great Neck

Coding Specialist Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes. Job Responsibility Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Demonstrates effective skills in validation; provides ad-hoc education to the coding staff. Able to communicate effectively with coders and CDI staff. Demonstrates knowledge of coding policy and procedures. Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff. Operates under...

Job Posting Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1. Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2. Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3. Utilizes resources and reference materials (e.g., on-line sources, manuals) to identify appropriate codes and reference code applicability, rules and guidelines. 4. Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if applicable), as...

Health Information Management Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1. Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2. Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3. Utilizes resources and reference materials to identify appropriate codes and reference code applicability, rules and guidelines. 4. Applies the Uniform Hospital Discharge Data Set definitions as well as any additional regulatory guidelines and/or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if applicable), as documented in the...

Req Number 179272 Required: Background in Inpatient with 3-5 years' experience in Coding or Auditing. Highly Preferred: Auditing experience with DRGs. Job Description Responds to commercial payers, managed care and third party review organizations in managing the appeals/denials process. Supports the review of denial trends and identifies coding issues and knowledge gaps. Job Responsibility Supports denial reviews and response processes; prioritizes and reviews cases denied by commercial payers. Reports program performance and/or corrective action to management on regular basis. Assists in monitoring inpatient denial types, volume and formulates responses to requesting agency; seeks additional resources (e.g. legal counsel) to resolve issues, as needed; develops case-specific written rationale to substantiate and communicate findings. Addresses coding issues and knowledge gaps; functions as a organization resource for litigation as related to...

Req Number 169415 Remote Work Schedule: Sun-Thurs or Tues-Sat flexible hours between 7am-7pm $5k Sign on Bonus eligible Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any...

Acute Inpatient Coding Specialist Validates acute inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the medical record. Job responsibilities include: Leveraging clinical expertise to identify and validate DRG code assignment. Full review of CDI suggested code changes. Demonstrating comprehensive knowledge of coding guidelines and principals; performing coding audits for optimization. Auditing and reviewing Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with federal and state regulations. Applying coding rules and regulations to the validation review process. Reviewing codes on Medicare/non-Medicare charts for compliance to rules and conventions. Communicating DRG changes and rationale to the coding and CDI staff. Identifying appropriate coding changes necessary to provide the most valid documentation in compliance with federal and state...

Req Number 181790 Required: Coding Auditor with inpatient hospital experience Experience coding and auditing ICD-10-PCS. Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes. Job Responsibility 1.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 2.Demonstrates effective skills in validation; provides ad-hoc education to the coding staff. 3.Able to communicate effectively with coders and CDI staff. 4.Demonstrates knowledge of coding policy and procedures. 5.Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. 6.Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. 7.Reviews potential reassignments; demonstrates accurate and timely review of...