- Independent Health (Buffalo, NY)
- …benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist-Senior will be responsible for reviewing ... coding and clinical decisions on cases involving complex clinical ...(CIC), Registered Health Information Management Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Clinical … more
- R1 RCM (Salt Lake City, UT)
- …and 1:1 meetings on a routine basis. **Required Skills:** + Active Registered Nurse license + Active AHIMA or AAPC Coding Certification including CCS, RHIA, ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Supervisor** , you will support … more
- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help ... position. **Here's what you will experience working as a Clinical Coding Appeals Nurse :** +...external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + An active CCS,… more
- BAYADA Home Health Care (Orlando, FL)
- …for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. RN , PT, OT, and SLP's with certifications will ... for this role (Please note, while this is a clinical opening, BAYADA does have non- clinical openings...Apply your skills and knowledge of OASIS and ICD-10 coding to help clients receive the home health care… more
- Commonwealth Care Alliance (Boston, MA)
- … Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration ... Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Bachelors degree required. + Clinical background preferred (ie, LPN, RN , etc.). + Current Certified Coding Specialist (CCS) certification required. ... on risk areas. Serves as a resource for providers and caregivers on hospital/ clinical billing and coding . **Primary duties and responsibilities:** + Prepares and… more
- Catholic Health Initiatives (Chattanooga, TN)
- …action plans based on analysis. + Works collaboratively with Revenue Cycle Staff, Coding team, Clinical Informatics, and other MMS staff associated with HCC ... review, education and necessary follow-up to help ensure that clinical documentation and coding services meet government...or must be obtained within the first year. Prefer RN , LPN, or CMA state of TN/GA but not… more
- Centene Corporation (Austin, TX)
- …organization preferred LPN - Licensed Practical Nurse - State Licensure required or RN - Registered Nurse - State Licensure and/or Compact State ... business needs & objectives of Corporate and health plans. + Provide coding / clinical decisions on first time claims, adjustments and appeals in accordance with… more
- Hartford HealthCare (Farmington, CT)
- …Responsibilities:_* 1. Analyze and resolve specific billing edits and denials that require coding and billing expertise with some clinical knowledge that are ... modifiers, diagnosis codes as appropriate including charge corrections 2. Identify charging, coding , or clinical documentation issues and work with appropriate… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …completeness and accuracy of health record documentation through extensive interaction with clinical , coding , and other associated staff to ensure clinical ... AHIMA or AAPC and two years of experience in clinical documentation improvement; OR, Clinical experience such as RN , MD, or DO, and one year of experience in… more
- Geisinger (Danville, PA)
- …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... clarify existing documentation. Acts as a liaison between the clinical and coding functions. Provides education to...Dayshift- Monday through Friday Education and Experience: 3 years RN work experience is required; BSN is strongly preferred… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- …Information Management Association ( AHIMA ). Required Experience Five (5) years of clinical coding and/or nursing experience in an ambulatory setting or in ... coding conventions. * Works closely with Revenue Cycle coding staff on Clinical Documentation Improvement (...the American Health Information Management Association ( AHIMA ), Registered Health Information Technician ( RHIT ) from the… more
- SSM Health (MO)
- …Division of Professional Registration + Or + Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by Compact State + Or + Registered ... and Wisconsin.** **Job Summary:** Performs concurrent analytical reviews of clinical and coding data to improving physician...+ Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by… more
- University of Washington (Seattle, WA)
- …) **UW MEDICAL CENTER** has an outstanding opportunity for an ** RN Clinical Documentation Specialist.** **WORK SCHEDULE** Full-time day shift. ... Specialist. + Minimum of 6 years of recent acute inpatient hospital experience as a registered nurse . + Active license to practice as a registered … more
- Parkview Health (Fort Wayne, IN)
- … clinical experience in an acute care setting and/or three years of clinical coding experience in an acute care setting, including competence with ... the intensity of service. Serves as the bridge between coding and clinical staff. Education Must obtain...not required to obtain BSN. Licensure/Certification Must be an RN with current licensure. Clinical Documentation Specialist… more
- Catholic Health (Buffalo, NY)
- …as related to DRG and level of care denial trends. Responsibilities: EDUCATION + Registered Nurse with a current New York State license + Bachelor of ... care team on an ongoing basis in relation to trends in denials, and clinical documentation. Responsible for working alongside coding , clinical documentation… more
- Trinity Health (Davenport, IA)
- …(RHIA), c. Registered Health Information Technician (RHIT), d. Certified Coding Specialist (CCS), e. Certified Clinical Documentation Specialist (CCDS) f. ... Document Specialist at MercyOne, you will utilize advanced clinical and coding expertise to direct efforts...specialist_ . Preferred certification or licensure includes: a. Current Registered Nurse License, b. Registered … more
- Mohawk Valley Health System (Utica, NY)
- … coding conventions. Core Job Responsibilities Provider Interaction and Clinical Documentation Review + Develops and executes comprehensive queries (written and ... Reviews and Documentation Validation + Performs systematic reviews of clinical documentation according to official coding guidelines....experience. + 2 years of experience in an inpatient coding , RN or documentation role. + Comprehensive… more
- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that are owned or… more
- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Clinical Documentation Integrity Nurse (CDI RN ) utilizes clinical expertise, expert coding knowledge, and critical thinking ... + Educational Leadership + Data Analysis + ICD -10 Coding + Clinical Communication & Coordination +...RN License in state of practice. + Demonstrated clinical nursing experience in a diverse setting. + Demonstrated… more
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