- ProKatchers (Bowling Green, NY)
- …10004 Shift :: 9:00am- 5:00pm (Hybrid) Job Description: The primary function of the Clinical Quality Reviewer is to assess and audit medical charts for ... and participate in the implementation of initiatives across a broad array of clinical measures and health improvement activities. Quality audit findings from… more
- Northeast Georgia Health System, Inc (GA)
- … in meetings. Minimum Job QualificationsLicensure or other certifications: Certified Coding Specialist (CCS)Educational Requirements: High School Diploma or GED. ... Job Specific and Unique Knowledge, Skills and AbilitiesProficiency of 95% or greater on coding audit reviews, must be maintained for two consecutive quarters for… more
- ChristianaCare (Wilmington, DE)
- …Certified Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD ... of DRG, ICD-9 codes, CPT codes, and modifiers for facility-based and provider-based clinical documentation, medical necessity, and/or inpatient coding and has a… more
- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview The Clinical Coding and Audit Specialist monitors, responds and performs the clinical coding ... across the Home Health enterprise for all payor types striving to improve clinical documentation and minimize lost revenue. Conducts analysis on timely submission of… more
- Intermountain Health (Broomfield, CO)
- …in Health Information or in a related field required Certified Coding Specialist (CCS) credential through American Health Information ManagementAssociation ... group of clinics and/or providers. Scope 1.Assigns ICD, CPT and HCPCS coding classifications based on clinical documentationand/or physician orders. Utilizes… more
- The Cigna Group (Philadelphia, PA)
- …the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) Certified Coding ... Job Description: Coding Education Specialist (AHIMA or AAPC...clinical providers and staff + Ability to communicate coding and documentation guidelines and education + Conduct provider… more
- LifePoint Health (Brentwood, TN)
- …Association (AHIMA) Standards of Ethical Coding , The Association of Clinical Documentation Improvement Specialist (ACDIS) Code of Ethics, Official ... working with CDI team, writing queries, and working with multiple EMRs. *Certifications:*Certified Coding Specialist (CCS), Certified Coding Specialist -… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- Medical Billing and Coding Specialist Department: Community Health & Research Center Location: Dearborn, MI START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=2484711&source=2484711-CJB-0) Job Title: Medical Billing and Coding Specialist Job Status:Full-Time **COVID-19 VACCINATIONS: Highly… more
- HCA Healthcare (Brentwood, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Clinical Denials Coding Review Specialist ? At Work from Home, you come ... make a difference. We are looking for a dedicated Clinical Denials Coding Review Specialist ...with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal… more
- Penn Medicine (Radnor, PA)
- …needed** **Certification Requirement: Certified Professional Coder - CPC (AAPC)** Summary: + The Coding Quality Specialist will review coded medical records for ... + Audit appropriate ICD-9-CM/ICD-10-CM diagnosis codes in accordance with coding guidelines. Audit appropriate CPT-4 codes for evaluation and management… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** **Description:** **Risk Adjustment Coding Specialist - CNY AIM (CIN), St. Joseph's Health - Full-time - Remote** ... **Shift:** Day Shift **Details:** **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team environment...in a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical… more
- Trinity Health (Mason City, IA)
- …visits, inpatient, ER, outpatient hospital visits, and lab requisitions. The clinic coding specialist will also be responsible for communicating with providers ... the medical record documentation for the services selected for " audit " or "review." + Works with the Coding...+ Current coding certification required + Certified Coding Specialist (CCS), Certified Coding … more
- Tidelands Health (Murrells Inlet, SC)
- …Technician (RHIT) + Registered Health Information Administrator (RHIA) + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) ... Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. Queries physicians as...+ May also support the department by participating in audit reviews, mentoring, and training other coders and any… more
- HCA Healthcare (Brentwood, TN)
- …Do you want to join an organization that invests in you as a Denial Coding Review Specialist ? At Parallon, you come first. HCA Healthcare has committed up ... a difference. We are looking for a dedicated Denial Coding Review Specialist like you to be...as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims. What you will do… more
- Northwell Health (Westbury, NY)
- …as on-site resource for coding and charging issues. Responsible for in servicing coding / clinical staff of changes that take place in the coding system; ... between departments to resolve coding and billing issues. Validates coding system maintenance forms prepared by Financial Analysts in a timely manner;… more
- ProMedica Health System (Toledo, OH)
- POSITION SUMMARY Provides training, audit , and billing education services to providers. Ensures medical service documentation and coding conforms to guidelines ... regulations. Responsible for handling high level assignments such as auditing of coding , compliance and provides education to physicians and other qualified health… more
- Henry Ford Health System (MI)
- …prospective and retrospective evaluation and assimilation of the medical record, the OP Audit - outpatient complex audit specialist will be responsible ... with OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and completeness of medical record… more
- University of Miami (Medley, FL)
- …The Central Business Office has an exciting opportunity for a Full-Time Senior Revenue Cycle Audit Specialist to work Remote. The Senior Revenue Cycle Audit ... of Revenue Cycle external audits related to billing and coding . This role serves as a team lead for...the Revenue Cycle Audits team. The Senior Revenue Cycle Audit Specialist contributes to the success of… more
- CDPHP (Albany, NY)
- …New York State license required. + CPC (Certified Professional Coder) or CCS (Certified Coding Specialist ) required, or must be obtain within first year of ... you to be a part of that experience. The Clinical Review and Coding Nurse is responsible...uphold the original payment. The RN will support provider audit functions including assessment of coding , practice… more
- Sharp HealthCare (San Diego, CA)
- …DRG coding and CPT coding classification. + Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate -PREFERRED + ... may be considered. + One of the following is required: AHIMA's Certified Coding Specialist (CCS), or Certified Documentation Improvement Practitioner (CDIP), or… more