Sunday, August 28, 2011

Severity DRGs (SDRGs)


All Patient DRGs (AP-DRGs)

Prior to the invent of AP-DRGs, DRGs were only used by medicare. Then there was a legislation that called on to used DRG based prospective payment for all non medicare patients in New York. Since it was found that Medicare DRGs were not adequate for a non-Medicare population a new DRG system was needed to address this need which was developed by NYDH and 3M HIS and was named as as the All Patient DRGs or AP-DRGs. AP-DRG system was an modified version of a previously developed DRG system called Pediatric Modified Diagnosis Related Groups or PM-DRGs.

In the newly created AP-DRGs there were DRGs specifically for neonatal and pediatric
patients and also a new DRG 24 was created for HIV infection patients. Assignment to MDC 24 was based on the principal diagnosis of an HIV infection or a principal diagnosis of an HIV related complication combined with a secondary diagnosis of an HIV infection. Some other significant modifications were made for nutritional disorders, transplants, hemophilia, cystic fibrosis, long term mechanical ventilation patients, acute leukemia, high-risk obstetric care, and sickle cell anemia. AP-DRGs are updated in January of every year and several modifications have been made till now.

Refined DRGs (RDRGs)

Refined DRGs (RDRGs) was developed at Yale University to revise the use of complications and comorbidities in the Medicare DRGs . Health Care Financing Administration funded this project during 1980s. Yale University modified the original medicare DRGs and expanded the numbers of DRGs to 1263. The DRG system developed by the Yale project is referred to as Refined DRGs or RDRGs.

Before the Yale project there as no concept of CCs and MCCs. In the medicare DRG system DRGs were assigned depending upon the primary and secondary diagnosis, but now Yale project created 136 secondary DRG for CCs. So now if a patient has a CC then instead of assigning the next DRG there was a DRG code with CC in the same DRG group. For surgical patients each secondary diagnosis group was assigned to one of four CC complexity levels, (non CC, moderate CC, major CC, and catastrophic CC). For medical patients each secondary diagnosis group was assigned to one of three CC complexity levels (non-CC, moderate or major CC and catastrophic CC).

RDRGs were basically designed for Medicare purpose only where all the patient population were in elderly ages. This DRG system was not adequate to handle a patient population of all ages especially neonates and patients with Human Immunodeficiency Virus (HIV) infections as there were no DRGs for these patients. This deficiency led to the development of other DRG systems that can cater to the needs of patients of all ages.

Saturday, August 20, 2011

Inova Health System medical coding Jobs

Inova Health System employees more than 16,500 talented individuals who provide exceptional patient care. They recruit medical coders at Fairfax, Alexandria, Falls Church, Dulles South, Virginia. They have recruited at all levels and offer part time and full time positions. They have also recruited coding Auditors.
They prefer certified coders : CPC-H or CCS or CCA. Additional certification in RHIT or RHIA is preferred.

http://jobs.inova.org/careers/featured-jobs













TriWest Healthcare Alliance medical coding jobs

TriWest Healthcare Alliance, headquartered in Phoenix, Arizona, manages and administers quality healthcare services for our nation's active and retired uniformed military service members and their families.

They have a coding department that have recruited experianced coders in the past. They prefer experiacned coders with certification. Tbey are located at Phoenix, AZ. The jobs offered are full time.



https://recruiter.triwest.com/




AtlantiCare medical coding jobs

AtlantiCare is the region’s largest healthcare organization and largest non-casino employer, with more than 5,170 employees and 600 physicians in nearly 70 locations. They have recruited medical coding team lead with Certified Coding Specialist (CCS) preferred with 10 years of experiance. They have a coding department that recruits full time coders as coders and team leads.

They have operations at multiple locations including Atlanta City(New Jerdey), Pomona, Egg Harbor Twp.

https://www.atlanticare.apply2jobs.com/

Anthelio (PHNS) medical coding jobs

Anthelio is a world leader in the healthcare industry providing healthcare IT services including medical coding, medical billing, Cancer registry, etc. Anthelio recruits medical coders through out the United States at all levels. Anthelio was formerly known as PHNS and was recently acquired by an Indian based company called Conjoin Group. Anthelio plans to remapup their US headcount from the present 1300 employees to 5000 by 2015. Anthelio recruits medical coders for both inpatient and outpatient work. They also offer remote coding positions in the United States for experianced coders.

http://www.antheliohealth.com/



Gentiva Health Services - Malta, NY medical coding jobs

Gentiva is involved into homecare and is leading player. They recruit coders for reviewing and analyzing clinical records and the selected ICD-9 coding to ensure coding accuracy and optimize their HHRG groups.

High School Diploma or the equivalent plus two years medical coding experience required. Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred.


High School Diploma or the equivalent plus two years medical coding experience required. *Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred.

http://www.gentiva.com/careers/









Texas Health Resources medical coding jobs

Texas Health Resources is one of the largest faith-based, nonprofit health care delivery systems in the United States and the largest in North Texas in terms of patients served. Texas Health Resources has 24 acute-care and short-stay hospitals that are owned, operated, joint-ventured or affiliated with Texas Health Resources (16 acute-care hospitals, 6 short-stay hospitals, 1 transitional care hospital and 1 rehabilitation hospital) that total 4,100 licensed hospital beds, employs more than 20,500 people, and counts more than 5,500 physicians with active staff privileges at its hospitals.


The hospital recruits coders for fulltime employment. Associates or Bachelor Degree and/or AHIMA cert: RHIA, RHIT or CCS. Minimum one year coding experience in an acute hospital setting required.


http://jobs.texashealth.org/













Iowa Ortho Des Moines medical coding jobs

Iowa Ortho has been providing excellence in comprehensive orthopedic care. They recruit entry and experianced coders.

A Pre-Coder is an entry level administrative coding position that ensures all information is complete and available in order for Certified Professional Coders to code physician services to bill the charges to insurance. Responsible for reviewing and tracking of revenue processes. This is a very good position for someone working toward becoming a CPC. Pay for this role depends on experience; 12.50 - 14.00 per hour.


A Certified Coder at Iowa Ortho has a CPC or CCA coding certification and at least one year of speciality coding behind them. If you have experience in medical coding with a certification as well as a passion customer service, this position could be right for you. Pay for this role depends on experience; 14.00 - 19.00 per hour.

http://www.iowaortho.com/careers.shtml






Precyse Solutions

Precyse Solutions is the leader in within HIM. Precyse’s services include remote and on-site coding, transcription, audit and education, cancer registry, consulting and interim/long-term HIM management . Precyse regularly recruits medical coders at all levels and they preper CCS and RHIT. They require coders to work for inpatient and outpatient coding. They recruit through out united states



Maxim Health Information Services medical coding jobs

Maxim Health Information Services, a division of Maxim Healthcare Services, is a leader in providing quality coding and auditing services to healthcare organizations across the country. Maxim Health Information Services has medical coding and auditing jobs for certified medical coders and experienced auditors to support its offerings to customers, including on-site coding support, remote coding services, auditing and review services, education and training, HIM outsourcing solutions, and services to the Department of Veterans Affairs Medical Centers. At Maxim, employees may travel or work remotely, in full-time or part-time positions.


They also offe other benefits, including:
Health, vision, dental, and life insurance
401(k) program
Competitive salaries
Ongoing professional training
Completion bonuses
Other healthcare benefits


http://www.maximhealthinformationservices.com/overview.aspx



Valley Health System (VHS) hospitals medical coding jobs

As the largest healthcare provider in Las Vegas, Valley Health System (VHS) hospitals. The Valley Health System is a part of Universal Health Services Inc, a PA based company that is one of the largest healthcare management companies in the nation. They recruit medical coders at all levels with different requirements for different positions. For senior postions CCS required, RHIT/RHIA preferred.


For entry level positions High School or equivalent.
Experience:In lieu of education requirements, will accept 6 months – 1 year coding experience plus entry level of college or coding program.

http://jobs.valleyhealthsys.com/careers/office-jobs



MedStar Physician Partners Baltimore, MD medical coding

MedStar Physician Partners, proud member of MedStar Health recruits Certified Coders for full time hourly pay with other benefits. They have cardiology, cardiac surgery, oncology services, rehabilitation, neurosciences, orthopedic surgery, women's services, and emergency and trauma services. MedStar Health is a $3.8 billion not-for-profit, regional healthcare system with a network of nine hospitals and 20 other health-related businesses across Maryland and the Washington, D.C. region with 5,600 affiliated physicians.


Medical coding jobs
Education:High school graduation or equivalent required. CPC certification required or within 6 months of hire.Experience:1 year coding experience in a medical office or ambulatory health environment preferred.

http://www.medstar-jobs.com/



Memorial Medical Center Modesto, CA medcial coding

Memorial Medical Center offers full time job opportunities to coders on hourly pay. Their coding department has deals with codinhg ofr disease, injury and operation coding of outpatient and Emergency Department medical records to include records of neonate, pediatrics, adolescent, adult, and geriatric populations.


Requirement for Coding Technicians:
HS diploma or equivalent• Ability to correctly assign ICD-9-CM and CPT HCPCS classification systems codes; must take a prepared test and pass with a grade of 90%

One year of work experience in a health information department of a health care facility or ED Billing Service

To apply or learn more about the position, visit http://www.memorialmedicalcenter.org/ or email littlev@sutterhealth.org






Marin General Hospital Greenbrae, CA medical coding

Marin General Hospital is the largest acute care, independent hospital in Marin County. Their coding department has inpatient, outpatient, emergency care and ancillary Coding/DRG information systems. They also pay Sign On Bonus.


Minimum Requirements
High School Diploma
Three years’ related coding experience in an acute care hospital setting is preferred; may consider entry level certified coder as well
RHIT or RHIA or CCS is required

http://www.maringeneral.org/









Cheyenne Regional Medical Center medical coding jobs

The Cheyenne Regional Medical Center expanding healthcare system includes a 218-bed medical center with Level II trauma care in Cheyenne Physician Group and Home Care Centers that expand to Wheatland and Torrington. Coding inclucdes for inpatient, outpatient, specialty clinics, emergency department, and other areas designated. They offer fulltime positions. Thorough knowledge of ICD/DRG coding and/or CPT coding principles, and the recommended American Health Information Management Association coding competencies. They recruit at all levels starting from coder, data analysit to senior positions.

www.crmcwy.org/career