- Option Care Health (Austin, TX)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... Verifies that the services and products are correctly authorized and that required documentation is on file. Ensures that invoices are submitted for services and… more
- Blanchard Valley Hospital (Findlay, OH)
- … Specialist , Claims Resolution Specialist , Revenue Integrity Auditor, Revenue Integrity Educator, clinical area, and other areas to support resolution ... is to review, enter and/or modify charges as appropriate, including review of clinical documentation to ensure charge is supported and/or to determine specific… more
- MultiPlan (Atlanta, GA)
- …are where bright people come to shine! JOB SUMMARY: The Medical Coding Specialist is responsible for providing billing analysis of claims and applying coding ... for medical appropriateness of treatment; analysis of charges of various revenue centers with consideration to patient diagnosis, procedures, age and facility… more
- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for ... a comprehensive review of the insurance denial and working with the Clinical Denials Nurses and Coding Denials Specialists to compile appropriate documentation… more
- Option Care Health (Los Angeles, CA)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... external partners to ensure the accuracy and completeness of all required documentation is of the highest quality while providing exceptional customer service.… more
- Blanchard Valley Hospital (Findlay, OH)
- …compliant and optimal professional charge capture which is supported by clinical documentation . Coordinate with the Professional Coding Integrity ... of competencies and organizational mandatory requirements, etc. Duty 3: Identify clinical documentation opportunities and provide routine feedback and education… more
- Northeast Georgia Health System, Inc (GA)
- …correctly assign outpatient procedure codes.Establish a strong working relationship with Clinical Documentation Improvement (CDI) to insure that Reimbursement ... Job Category: Revenue Cycle Work Shift/Schedule:VariesNortheast Georgia Health System is...any associated billing edits. Responsible for reviewing medial record documentation to correctly assign and sequence diagnosis and procedure… more
- Northeast Georgia Health System, Inc (GA)
- Job Category: Revenue Cycle Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the health of our communities. About the ... meetings. Minimum Job QualificationsLicensure or other certifications: Certified Coding Specialist (CCS)Educational Requirements: High School Diploma or GED. Must… more
- Montrose Memorial Hospital (Montrose, CO)
- …or service is billed to the patient. About The Career: + The purpose of the Clinical Revenue Specialist position is to ensure the integrity and quality of ... unique skill sets of the Utilization Review Nurse and Clinical Documentation Specialist to facilitate...to quality reporting measures, and ensures accurate reimbursement. The Clinical Revenue Specialist is a… more
- Baystate Health (Holyoke, MA)
- **The Clinical Documentation Specialist ** acts as a liaison between medical staff, Nursing, Coding and QI specialist to ensure the clinical ... Physiology Medical Terminology is required. + 5+ years of Clinical Documentation Specialist is preferred....of nearly 3,100 physicians, and a net patient service revenue of more than $1.4 billion, the ever-growing health… more
- Trinity Health (Newtown, PA)
- …PA 18940 The Account Specialist will perform analysis of patient clinical and billing data to identify documentation , coding and charging opportunities. ... **Description:** Trinity Health Mid-Atlantic is looking for an experienced Revenue Integrity Account Specialist to join our...knowledge of clinical processes, charge master maintenance, clinical coding (CPT, ICD-10, revenue codes and… more
- Baystate Health (Holyoke, MA)
- **Summary:** The Clinical Documentation Specialist - Retrospective reviewer, collaborates with coding compliance and the department of healthcare quality in ... a liaison between medical staff, Nursing, Coding and QI specialist to ensure the clinical documentation...of nearly 3,100 physicians, and a net patient service revenue of more than $1.4 billion, the ever-growing health… more
- Trinity Health (Syracuse, NY)
- …but not limited to, appending modifiers and checking clinical documentation . Provides feedback to intra-departmental Revenue Integrity colleagues including ... clinical staff on need for accurate and complete documentation to ensure revenue optimization and integrity....ensure revenue optimization and integrity. Performs outpatient clinical documentation improvement review (acute only) as… more
- Tufts Medicine (Burlington, MA)
- …improvement in overall quality, completeness, and accuracy of medical record documentation , obtains appropriate clinical documentation through extensive ... as well as assisting in the education and training related to improving clinical documentation . A professional individual contributor role that may direct the… 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 Specialist conducts reviews of Revenue Cycle external audits related to billing and coding....governmental and commercial payer audits. + Reviews and analyzes documentation to support acceptable billing and documentation … more
- Penn Medicine (Philadelphia, PA)
- …of healthcare environments and auditing concepts, medical billing/operations, medical terminology and clinical documentation . We believe that the best care for ... our future each day. Are you living your life's work? Job Title: Revenue Cycle Specialist Department: Emergency Department Entity: CPUP Location: Hospital of… more
- Trinity Health (Athens, GA)
- **Employment Type:** Full time **Shift:** **Description:** Performs analysis of patient clinical and billing data to identify documentation , coding and charging ... a demonstrated knowledge of clinical processes, charge master maintenance, clinical coding (CPT, ICD-10, revenue codes and modifiers), charging processes… more
- St. Luke's Health System (Boise, ID)
- …a resilient work environment. **What you can expect from this role:** + Reviews clinical documentation and facilitates modifications as needed to ensure that ... in compliance with government and other regulations. + Obtains appropriate clinical documentation through extensive interaction with physicians and other… more
- Logan Health (Kalispell, MT)
- …utilized at Logan Health (LH). Serves as an expert in translating clinical and operational needs into functional requirements. Acts as liaison between end ... remote capabilities but not 100% remote. *Candidates required to have Revenue Cycle experience. Qualifications: + Bachelor's degree in Health Information Management,… more
- Guthrie (Sayre, PA)
- Position Summary: The Provider Enrollment Specialist reporting to the Payor Contracting & Provider Enrollment Manager plays an essential role in ensuring the success ... activities required from contractual agreements. This would include all pertinent documentation and credentials, maintain all records and enrollment forms and… more
