10 3M Software Jobs

JOB DESCRIPTION ;The DRG Quality Analyst is responsible for performing an in-depth quality review of inpatient medical records to ensure that the DRG Auditor validated the billed diagnoses, POA, procedures, discharge disposition and DRG codes in accordance with the medical record documentation and in compliance with IPPS methodology. Quality Analyst is responsible for mentoring and training the DRG Auditors to reach the quality SLA. Provide ongoing feedback and education to coding staff.ESSENTIAL CRITERIA:Bachelor's in science/ Bachelor's in nursingCertified - ;CCS Certified Coding Specialist, CIC Certified Inpatient Coder, CPC Certified ProfessionalMinimum 5 years experience in IP DRG codin...

Role Overview: As a DRG Quality Analyst, you will be responsible for conducting detailed quality reviews of inpatient medical records to verify the accuracy of billed diagnoses, procedures, and DRG codes. Your role will involve ensuring compliance with medical record documentation and IPPS methodology. Additionally, you will play a crucial part in mentoring and training DRG Auditors to meet quality SLA requirements and providing continuous feedback and education to the coding staff. Key Responsibilities: - Perform in-depth quality reviews of inpatient medical records - Validate billed diagnoses, procedures, discharge disposition, and DRG codes - Mentor and train DRG Auditors to achieve quali...

Job Description The DRG Quality Analyst is responsible for performing an in-depth quality review of inpatient medical records to ensure that the DRG Auditor validated the billed diagnoses, POA, procedures, discharge disposition and DRG codes in accordance with the medical record documentation and in compliance with IPPS methodology. Quality Analyst is responsible for mentoring and training the DRG Auditors to reach the quality SLA. Provide ongoing feedback and education to coding staff. Essential Criteria Bachelor's in science/ Bachelor's in nursing Certified - CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder, CPC - Certified Professional Minimum 5 years experience in IP DR...

Overview: The DRG coding Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. Qualifications: Bachelors in nursing preferable / Bachelor's in science. Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder Experience: Minim...

Overview: The DRG coding Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. Qualifications: Bachelors in nursing preferable / Bachelor's in science. Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder Experience: Minim...

Overview: The DRG coding Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. Qualifications: Bachelors in nursing preferable / Bachelor's in science. Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder Experience: Minim...

Overview: The DRG coding Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. Qualifications: Bachelors in nursing preferable / Bachelor's in science. Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder Experience: Minim...

Bachelors in science/ bachelors in nursing Certified -CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder, CPC - Certified Professional Minimum 5 years experience in IP DRG coding or auditing. Minimum 1 - 2 years experience in Quality. DESIRABLE CRITERIA: Auditing experience on IP DRG. Knowledge in Microsoft outlook/excel/word. Exposure on 3M software and NLP tool. ADDITIONAL AND ESSENTIAL RESPONSIBILITIES: Follow every aspect of SOP without fail. Complete received Audits for quality review and ensure quality output. To achieve Quality SLA and quality production target. Excellent verbal and written communication. Follow project related protocols and instructions. Escalate issu...

Certifications: CPC - Certified Professional CCS - Certified Coding Specialist CIC - Certified Inpatient Coder Experience: Manager: 10 to 15 years experience in medical coding, auditing and automation. Skills and Abilities: Advanced knowledge of medical coding software platforms (e.g., 3M Code Finder, Optum360, True Code, Epic, Cerner, etc.). Minimum 5 years of experience in Inpatient DRG coding. Outpatient medical coding experience is added advantage. Mandatory working experience on US healthcare automation projects. Knowledge on automation tools Knowledge of programming language would be added advantage alike. Python SQL R, etc. Payer experience is added advantage. Expertise in Microsoft o...

Overview: The DRG coding Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. Qualifications: Bachelors in nursing preferable / Bachelor's in science. Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder Experience: Minim...