1. Reviews medical records of hospitalized patients to identify the most appropriate principle diagnosis and to assign a working DRG. Performs initial reviews, concurrent reviews and retrospective reviews to ensure the DRG accurately reflects the principal diagnosis and all comorbid conditions after study. 1.1 Completes the initial review within 24 48 hours of admission.

1. Reviews medical records of hospitalized patients to identify the most appropriate principle diagnosis and to assign a working DRG. Performs initial reviews, concurrent reviews and retrospective reviews to ensure the DRG accurately reflects the principal diagnosis and all comorbid conditions after study. 1.1 Completes the initial review within 24 48 hours of admission.

1. Reviews medical records of hospitalized patients to identify the most appropriate principle diagnosis and to assign a working DRG. Performs initial reviews, concurrent reviews and retrospective reviews to ensure the DRG accurately reflects the principal diagnosis and all comorbid conditions after study. 1.1 Completes the initial review within 24 48 hours of admission.

1. Reviews medical records of hospitalized patients to identify the most appropriate principle diagnosis and to assign a working DRG. Performs initial reviews, concurrent reviews and retrospective reviews to ensure the DRG accurately reflects the principal diagnosis and all comorbid conditions after study. 1.1 Completes the initial review within 24 48 hours of admission.

1. Reviews medical records of hospitalized patients to identify the most appropriate principle diagnosis and to assign a working DRG. Performs initial reviews, concurrent reviews and retrospective reviews to ensure the DRG accurately reflects the principal diagnosis and all comorbid conditions after study. 1.1 Completes the initial review within 24 48 hours of admission.

1. Reviews medical records of hospitalized patients to identify the most appropriate principle diagnosis and to assign a working DRG. Performs initial reviews, concurrent reviews and retrospective reviews to ensure the DRG accurately reflects the principal diagnosis and all comorbid conditions after study. 1.1 Completes the initial review within 24 48 hours of admission.

1. Reviews medical records of hospitalized patients to identify the most appropriate principle diagnosis and to assign a working DRG. Performs initial reviews, concurrent reviews and retrospective reviews to ensure the DRG accurately reflects the principal diagnosis and all comorbid conditions after study. 1.1 Completes the initial review within 24 48 hours of admission.

1. Reviews medical records of hospitalized patients to identify the most appropriate principle diagnosis and to assign a working DRG. Performs initial reviews, concurrent reviews and retrospective reviews to ensure the DRG accurately reflects the principal diagnosis and all comorbid conditions after study. 1.1 Completes the initial review within 24 48 hours of admission.

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

1. Screens and refers incoming phone calls and directs patients and families to ensure that accurate and timely department communication is facilitated and that the Department is represented in a positive manner. 1.1 Provides all support and clerical assistance to patients, families, staff (both departmental and hospital), and community contacts with the greatest consider

1. Manages in collaboration with the OP Coding Leadership team the day to day activities related to Outpatient Coding AR to ensure accuracy, completeness, and timeliness of coding completion. This includes, but is not limited to ongoing communication and collaboration with internal and partner departments to resolve outstanding issues and streamline workflows, monitoring

1. Applies Appropriate Icd 9 Cm And/Or Hcpcs Codes In Accordance With Coding And Reimbursement Guidelines. Abstracts Pertinent Information From Patient Records. 2. Reconciles E/M Facility And Chemotherapy Charges And Codes With Physician Orders, And Nursing Administration Documentation When Required, And Pharmacy Dispensing To Ensure That All Drugs And Medical Services Ar

1. Analyze and document all problems and resolutions to HVC Procedural services charging process 2. Develops and maintains a working knowledge of CPT coding, ICD 9/10 coding, DRG's and revenue contracts to ensure proper and effective charge capture is accomplished in HVC Procedural Services. 3. Develops working knowledge of all standard Hospital software products related

1. Schedules patients from a variety of sources and maintains schedules. Also includes but not limited to MD Scheduling changes, schedule set up and validation. Scheduling may take multiple calls and conversation with Physicians, clinical staff and patients to assure optimal use of schedule, physician productivity and patient satisfaction. 2. Registers patients by obtaini

1. Researches payer denials related to medical necessity, coding, etc resulting in denials and delays in payment. 2. Evaluates Outpatient Clinical denials against medical record documentation, the coding of the encounter , payer policies and contracts, and coverage determinations to determine the viability of an appeal 3. Compiles the supporting documentation by working i