- Atrium Health (Charlotte, NC)
- Atrium Health is seeking a Registered Nurse (RN) Manager, Clinic for a nursing job in Charlotte, North Carolina.Job Description & RequirementsSpecialty: ... subject matter expert for clinical documentation and risk adjustment coding within the enterprise. This position focuses on priorities...Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work… more
- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... we serve.RN Utilization Manager position specifically for a Utilization Manager/Clinical Appeals Nurse . This person is based at the Hedrick building and is 100%… more
- R1 RCM (Salt Lake City, UT)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret ... position. **Here's what you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to appeal denied and… more
- Northwell Health (Garden City, NY)
- …RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group ... standards are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews codes… more
- BrightSpring Health Services (Louisville, KY)
- …Clinical review will require a current license/registration by state of hire as a nurse + Successfully completed HCS-D coding certification, required and to be ... Our Company BrightSpring Health Services Overview The Clinical Coding and Audit Specialist monitors, responds and performs the clinical coding and audit support… more
- Zelis (Plano, TX)
- …to Zelis standards regarding privacy Skills, Knowledge, and Experience: + Registered Nurse licensure required + Inpatient Coding Certification required (ie, CCS, ... of DRG validation reviews to ensure accurate and compliant coding based on industry standard inpatient coding ...compliant coding based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria, and… more
- Prime Healthcare (Reno, NV)
- …+ Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, coding staff and management staff. + Ability to ... setting preferred. + Minimum of two years experience with ICD-10 and CPT coding in an outpatient setting preferred. + Basic computer experience required, experience… more
- Zelis (St. Petersburg, FL)
- …to Zelis standards regarding privacy Skills, Knowledge, and Experience: + Registered Nurse licensure preferred + Inpatient Coding Certification required (ie, ... post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy… more
- Scripps Health (San Diego, CA)
- …Education/Experience/Specialized Skills/Certification:* * Clinical certification or license (eg, Registered Nurse , Allied health) * Coding certification (CPC, ... optimization and has knowledge of Medicare and Payer regulations, Coding and Billing rules. * It is preferred if...denial management. * Knowledge of ICD 10 and/or CPT/HCPCS coding * Knowledge of healthcare delivery in Hospital and… more
- Municipality of Anchorage (Anchorage, AK)
- PUBLIC HEALTH BILLING & CODING CLERK (Accounting Clerk III) - Range 10 / AMEA Print (https://www.governmentjobs.com/careers/moa/jobs/newprint/4542536) Apply PUBLIC ... HEALTH BILLING & CODING CLERK (Accounting Clerk III) - Range 10 /... systems. This position will work closely with the Nurse Supervisors to identify efficiencies and creative ideas to… more
- Beth Israel Lahey Health (Boston, MA)
- …at Beth Israel Deaconess Medical Center. Candidates must be extremely proficient in surgical coding as this role will be a coder resource for other coders. This role ... work remotely. **Job Description:** This position is responsible for facilitating the coding , auditing and billing process according to CMS, BIDMC, other federal… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Office and Google Suite platforms. **Licenses and Certifications Required:** + Certified Coding Specialist. + NJ State Professional Registered Nurse License. ... healthcare and serve as a leader of positive change. The **Inpatient Coding /Quality Educator** designs, delivers and evaluates coding education and training… more
- Northwell Health (Lake Success, NY)
- …Full review of CDI suggested code changes + Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. + ... standards are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews codes… more
- Prime Healthcare (North Las Vegas, NV)
- …5. Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, coding staff and hospital management staff. 6. ... Ability to work independently in a time-oriented environment. 7. Computer data entry with 10-key preferred, with accurate typing speed of 35 wpm preferred. Connect With Us!… more
- UNC Health Care (Chapel Hill, NC)
- …that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity to entity ... through and complete the CDS training modules. 3. Provides ongoing documentation and coding education to CDI Physician Advisers and CDS staff. 4. Provides input to… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- _*SUMMARY:*_ We are currently seeking a* Coding Coordinator*to join our Professional Billing Codingteam. This full-time role will primarily work remote (SHIFT: Days). ... Reviews and assigns codes for all diagnoses and procedures according to accepted coding guidelines, regulations, and standards for ICD9-CM and HCMPCS/CPT, as well as… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- _*SUMMARY:*_ We are currently seeking a* Coding Specialist II*to join our Hospital Billing OP Coding team. This full-time role will primarily work remote (SHIFT: ... * Effectively interacts with providers and ancillary staff for clarification of coding issues * Maintains statistics, records, and logs in relation to assigned… more
- UPMC (Harrisburg, PA)
- This CDI Coding Lead is a hybrid opportunity that oversees CDI operations for UPMC Harrisburg and UPMC Community Osteopathic. The selected candidate would have the ... CDI optimization for inpatients concurrently, as well as post coding DRG optimization, including the coordination of training/education related initiatives… more
- UTMB Health (Galveston, TX)
- … Coding Specialist (CCS) certification, and a minimum of 3 years medical coding experience. **Or** . Registered nurse (or medical school graduate) with a ... with physicians, members of the patient care team, and hospital coding staff. **Function:** Ensures clinical documentation accurately reflects the appropriate level… more
- Trinity Health (Farmington Hills, MI)
- …manner possible: + Coordinates follow-up activities with Utilization Review/Case Management/ Coding / Nurse Liaison to provide required clinical support, as ... well as to ensure timely follow-up and action for account appeals. + Works with Patient Access and other necessary parties to resolve account authorization issues. + Applies knowledge of specific payer payment rules, managed care contracts, reimbursement… more
