- Cambia Health Solutions, Inc (Boise, ID)
- …five years of experience as a pharmacy services technician in a retail, hospital , or other licensed pharmacy setting or equivalent combination of education and ... and appeals. Prepares reconsideration requests for Clinical Pharmacy Consultant review by obtaining and organizing appropriate documentation, including, but not… more
- Russell Tobin & Associates (Minneapolis, MN)
- …approved format to our SDOH repository. They will also need to be able to review files, to ensure they match the expected layout, work with partners to describe what ... with the development team to define changes, answer clarifying questions, review test results, and coordinate deployments.Assisting with project tracking, providing… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …caseloads, provides coverage to Intake department, and assists with Utilization Review , Quality Assurance, and Performance Improvement activities as ... and procedures. Coordinates continuity of care and discharge planning from hospital settings. Following admission, ensures smooth transition of new patients to… more
- 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 (Houston, TX)
- …you a check, or ask you for payment as part of consideration for employment. **Nurse Reviewer I** + Job Family: MED > Licensed Nurse + Type: Full time + Date ... HEIGHTS + TX, HOUSTON + TN, KNOXVILLE **Description** **Nurse Reviewer I** **Location:** Within 50 miles of a pulse...providers, and members to promote the most appropriate, highest quality and effective use of diagnostic imaging to ensure… more
- Elevance Health (Deerfield, IL)
- …you a check, or ask you for payment as part of consideration for employment. **Nurse Reviewer I** + Job Family: MED > Licensed Nurse + Type: Full time + Date ... SPRINGFIELD + IL, DEERFIELD + IL, CHICAGO **Description** **Nurse Reviewer I** **Location:** Within 50 miles of a pulse...providers, and members to promote the most appropriate, highest quality and effective use of diagnostic imaging to ensure… 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 (Nashville, 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
- 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
- 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
- AdventHealth (Altamonte Springs, FL)
- …for assigned staff, as well as supporting on-going quality assurance needs for coding staff. They will review medical records and documentation for coding ... CMS guidelines, NCCI guidance, etc. . Provides outcomes of coding quality audit reviews with leadership ....policy, OCE Edits, APCs. . Expert level knowledge of Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI), and… 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
- 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
- Fairview Health Services (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
- 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
