- University of Miami (Hialeah, FL)
- …of patient outcomes, and complexity of patient care. Serves as key resource for CDI/ Coding / Quality . The CDI Second Level Reviewer works in collaboration with ... + Completes quality reviews focused on CDI quality elements, such as Mortality, Hospital Acquired...+ Effectively and appropriately communicates and collaborates with providers, HIM/ coding , quality , CDI, and other members of… more
- Elevance Health (Columbus, OH)
- **Nurse Reviewer I** **Location:** Within 50 miles of a pulse point **Shift** : Monday - Friday, from 9:30 am - 6 pm The **Nurse Reviewer I** is responsible for ... Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of diagnostic imaging to ensure quality … more
- Elevance Health (San Juan, PR)
- …providing information technology and business operations services for health plans._ **Nurse Reviewer I** **Location:** This position will work on-site on Carelon PR ... US States time zones that the unit will be supporting. The **Nurse Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness of… more
- UTMB Health (Galveston, TX)
- …departmental performance. * Identifies process improvement opportunities for physician and outpatient hospital coding to achieve high quality outcomes in ... coding activities related to professional and outpatient hospital coding . The Manager of Coding... Team personnel, working with Revenue Cycle leadership to review , monitor and improve the performance, productivity and accuracy… more
- LifePoint Health (Brentwood, TN)
- …summaries for reports for distribution to facility CFOs and compliance. . Monitor assigned coding quality review schedules and progress of reviews; propose ... * Review Specialist, Coding Quality ...* Review Specialist, Coding Quality and Education * *Who... audits, with three years' specific experience in Inpatient hospital coding . Must be familiar with Diagnosis… more
- Children's Hospital Boston (Boston, MA)
- …Hours per Week:40 Job Posting Category:FinanceJob Posting Description:Boston Children's Hospital Clinical Coding Department is a diverse team ... of coders working in a remote coding environment looking for another inpatient hospital ...using specialized computer software + Perform specialized and technical coding and assist with review of billing… more
- Wood County Hospital (Bowling Green, OH)
- … and assignment and abstracting reflective of clinical documentation. Ability to successfully perform coding quality review to validate correct coding ... to various denial cases. Supports the integrity of the coding and accurate reimbursement, quality scores, benchmark...+ Prior revenue cycle experience preferred. + Office and Hospital coding experience preferred. + Auditing experience… more
- Glens Falls Hospital (Glens Falls, NY)
- …of documentation, coding and DRG methodologies. Performs ongoing monitoring for coding quality and consistency and is responsible for knowledge, training, ... DRG's that include all MCC's and CC's for reimbursement. In collaboration with Hospital External Review Team (HERT) members, coordinates reviews and responds to… more
- The Mount Sinai Health System (New York, NY)
- …III - Medical Records - Mount Sinai Hospital - FT Days M-F 8AM-4PM** The Coding Specialist III is responsible for the review and coding of complex ... and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding guidelines and conventions for the establishment of diagnoses and procedures.… more
- HCA Healthcare (Brentwood, TN)
- …Do you want to join an organization that invests in you as a Clinical Denials Coding Review Specialist? At Work from Home, you come first. HCA Healthcare has ... have the opportunity to make a difference. We are looking for a dedicated Clinical Denials Coding Review Specialist like you to be a part of our team. **Job… 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 ... you have the opportunity to make a difference. We are looking for a dedicated Denial Coding Review Specialist like you to be a part of our team. **Job Summary… more
- HCA Healthcare (Brentwood, TN)
- …**Introduction** Do you want to join an organization that invests in you as Coding Quality Manager? At Parallon you come first. HCA Healthcare has committed ... make a difference. We are looking for a dedicated Coding Quality Manager like you to be...management/leadership experience required. + Minimum 7 years recent inpatient/outpatient hospital coding experience (production, auditing and or… more
- Avispa Technology (Dallas, TX)
- Coding Quality Specialist 31414347 A leading children's medical institution is seeking a Coding Quality Specialist. The successful candidate will be ... nationally recognized organization ie AAPC, AHIMA (must provide proof of PPE/internship hours) Coding Quality Specialist Pay and Benefits: * Hourly pay: $20/hr *… more
- CDPHP (Albany, NY)
- …these values and invites you to be a part of that experience. The Clinical Review and Coding Nurse is responsible to attain procedure and diagnosis coding ... RN will support provider audit functions including assessment of coding , practice trends and evaluation of programs, and recommend...experience required. + A minimum of two (2) years quality /utilization review experience in an HMO, managed… 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 ... making. **Job Details** Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: HIM Coding & CDI Quality Work Type: Full Time Standard Hours Per… more
- St. Luke's University Health Network (Allentown, PA)
- …role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding related claim denials for professional services, ... coding , compliance, and documentation guidelines + Resolve Charge Review and Claim Edit CCI/LCD edits, diagnosis coding...the Bethlehem Campus being home to St. Luke's Children's Hospital . SLUHN is the only Lehigh Valley-based health care… more
- Ebenezer (St. Paul, MN)
- …role is responsible for one or more Coding and Documentation Quality and Education functions including professional services, hospital billing outpatient ... **Overview** This position is for a Hospital Coding Documentation Liaison (covering Observation,...personal and professional growth. + Develop and execute departmental review projects with measurable financial, quality and/or… more
- Tidelands Health (Murrells Inlet, SC)
- …and accurate assignment of present on admission (POA) indicators. + Consistently meets coding quality and productivity standards established by the coding ... review documentation and serve as department expert on coding questions. + Gathers and verifies all information required...with the Compliance/ Quality Team when alerted to coding quality issues found via internal or… more
- Penn Medicine (Philadelphia, PA)
- …management, procedure, and modifiers selected in accordance with federal, state and hospital documentation and coding requirements. Ensure documentation in the ... appropriate ICD-10-CM diagnosis codes have been assigned in accordance with coding guidelines. Validate that appropriate CPT-4 codes for evaluation and management… more
- The Mount Sinai Health System (New York, NY)
- …Advancing medicine. Healing made personal. **_Roles & Responsibilities:_** Responsible for the review and coding of complex inpatient and/or ambulatory surgery ... responsibilities as required. **_Requirements:_** + Education: 0 - 2 years inpatient/outpatient coding experience in acute tertiary care hospital . Coding … more