- Optum (San Juan, PR)
- …Evaluation and Management Services in the outpatient/office setting Presentation or policy documentation experience Knowledge of CMS and AMA coding rules ... of the claim for further review in a production environment. Primary Responsibilities: Clinical Case Reviews -75% Perform clinical review of professional (or… more
- Optum (San Juan, PR)
- …leadership on root cause identification. Primary Responsibilities: Investigates, reviews, and provides clinical and / or coding expertise in review of post ... practices / patterns, applicable benefit language, medical and reimbursement policies, coding requirements and consideration of relevant clinical information on… more
- NYC Health Hospitals (New York, NY)
- …to enable New Yorkers to live their healthiest life. Position Overview The Payment Integrity (PI) Analyst will assist in the development of a strategic roadmap to ... business goals. Job Description Assist in the development a stellar payment integrity unit capable of proactively identifying and investigating payment issues and… more
- NYC Health Hospitals (New York, NY)
- …between working and final DRG. 6. Collaborate with physician champions to promote clinical documentation improvement among peers. 7. Track and Monitor Initial ... takes a person-centered approach that exemplifies the ICARE values ( Integrity , Compassion, Accountability, Respect, and Excellence) through empathic communication… more
- MetroPlusHealth (New York, NY)
- …with Medical Claim inquiries from provider sites personnel including physicians, clinical staff, and site administrators. Professional Competencies Integrity and ... Research and analyze medical claims adjustment requests along with related documentation to determine payment accuracy and adjust/adjudicate as needed using multiple… more
- Cresco Labs (Chicago, IL)
- …highest level of integrity , strictly adhering to regulations, and promoting the clinical efficacy of cannabis. As Cresco grows, we will operate with the same ... and to bring legitimacy to the industry with the highest level of integrity and professionalism. If you're interested in joining our mission, click the below… more
- Life Care Center of Littleton (Littleton, CO)
- Position Summary The Medical Records Director (Non-Nurse) maintains the patients' clinical records, including coding , auditing, and providing pertinent staff ... in all competency areas including but not limited to: medical coding , auditing, clinical records, privacy official responsibilities, supervisory… more
- HealthPartners (Hugo, MN)
- …and is making satisfactory progress toward production goals *Work with the clinic coding and documentation specialists (RCS) to assure that clinician coding ... our patients, members and community. Our commitment to excellence, compassion, partnership and integrity is behind everything we do. It's the type of work that makes… more
- Regency Integrated Health Services (Austin, TX)
- …Conducts regular audit of MDS process including validation of coding documentation , evaluating outcomes, and utilization of Data Integrity Audit reports ... resources in the execution of job responsibilities. Must possess superior clinical assessment and documentation skills. Must demonstrate strong interpersonal… more
- Arnot Health (Elmira, NY)
- …obtain prior authorizations, process referrals, and assist with billing and medical documentation . Clinical Support : Take patient vitals, perform venipunctures, ... Outpatient Services team. This role provides essential administrative and clinical assistance across various outpatient specialty offices, ensuring high-quality… more
- UT Health San Antonio (San Antonio, TX)
- …The specialist serves as a liaison between clinical staff, materials management, coding , and billing departments to ensure integrity in surgical records and ... Charge Reconciliation Specialist plays a critical role in ensuring accurate and timely documentation and entry of surgical charges in the operating room (OR). Has an… more
- DNA Comprehensive Therapy Services (Venice, FL)
- …EMDR, and group therapy. Everything we do here at Elite DNA is guided by integrity and compassion for our patients and employees. When you join the Elite DNA team, ... North Port office. Job Summary Medical assistants perform routine administrative and clinical tasks to keep the offices of physicians and other health practitioners… more
- AdventHealth (Overland Park, KS)
- …role you'll contribute:** The Coding and Documentation Educator assists with Clinical Documentation Integrity (CDI) as it relates to Risk Adjustment ... Hierarchical Condition Category (HCC) education including but not limited to clinical documentation integrity , coding , HCC Risk Adjustment Methodology,… more
- UCHealth (Denver, CO)
- …on applicant's relevant experience Summary The Senior Director of Coding and Clinical Documentation Integrity (CDI) plays a pivotal role in leading ... Minimum of 5 years of experience in healthcare coding and clinical documentation integrity leadership. + In-depth knowledge of regulatory and industry… more
- Tufts Medicine (Burlington, MA)
- …Overview** This role oversees the functions and personnel in the Clinical Documentation Integrity (CDI), Coding , HIM Operations, and Utilization Review ... Services (PFS), and Revenue Integrity providing direction on clinical documentation and coding -related guideline compliance, best practice processes,… more
- Choctaw Nation of Oklahoma (Talihina, OK)
- …of information, filing loose reports, scanning/importing, PCC data entry, transcription, medical coding , clinical documentation integrity , and peer ... standards and conducts routine audits on core associate functions. 2. Oversee medical coding staff workflow and timeframes by completing weekly coding queue… more
- Texas Health Resources (Arlington, TX)
- …. Ability to communicate with and discuss DRG variances with Clinical Documentation Integrity (CDI) . Maintains coding proficiency by keeping up-to-date ... (eg AHIMA, AAPC or ACDIS) OR completion of Texas Health Resource's Clinical Coding Apprenticeship Program **REQUIRED** or Associate's Degree Health Information… more
- MedKoder (Mandeville, LA)
- …management, DRG coding management, coding education, clinical coding documentation improvement, revenue integrity , and revenue cycle consulting. ... NICU/PICU, and FQHC/RHC. Responsibilities: + Perform professional compliance audits of coding and documentation including surgeries, visits, and other services… more
- Queen's Health System (Honolulu, HI)
- …the skills necessary to implement the clinical documentation integrity activities, including knowledge of ICD-10 coding guidelines and practices, strong ... coding staff and quality team to ensure integrity and completeness of documentation and code... Documentation Specialist (CCDS) by the Association of Clinical Documentation Integrity Specialists (ACDIS).… more
- Dignity Health (Redding, CA)
- …and evaluating clinical records to determine accuracy and integrity of coding outcome versus clinical documentation and compliance with coding ... procedures related to the episode of care. Identifies opportunities to improve clinical documentation and coding procedures based on trending data of… more
