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

Position Description Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW ... changemaking for a healthier Wisconsin. In the role of Coding Specialist II you will be the Clinical Practice Services department. You will perform coding and related duties using established billing office policies in an accurate a

Reviews coded health information records to evaluate the quality of staff coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as discharge disposition. Ensure accurate coding for outpatient, day surgery and inpatient records. Verifies all codes and sequencing for claims according

Coordinates tests and treatments with and between various departments for patients on nursing units. Maintains working knowledge of functions and services offered by all diagnostic and treatment departments to facilitate the scheduling of tests and treatments. Facilitates communications required to support patient care including multiple line telephone, unit/site paging a

Position Description Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW ... change making for a healthier Wisconsin. As a Quality Coding Analyst I, you will serve as an expert resource for multi specialty documentation, coding and billing. Works as an extension to the Charge Capture Supervisory Team to moni

Supervises the Professional Coding Team. Ensures accurate and timely coding of records to ensure compliant charging and accurate reimbursement. Thorough knowledge of medical coding and reimbursement topics and experience with electronic medical records required. Responsible for understanding and adhering to the Children's Organizational Code of Ethics and for ensuring tha

At Children's Wisconsin, we believe kids deserve the best. Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family res

Position Description Every great life changing discovery begins the same way with new knowledge. It can change everything, from a single life to the future of entire communities. That's why academic medicine, and the continuous pursuit of knowledge, is at the center of everything we do at the Medical College of Wisconsin (MCW). As a Coding Specialist II, you will perform