- Heilind (Wilmington, MA)
- …entry Shelf-Life Inventory Management Identify shelf-life items and maintain proper coding . Run monthly expiration reports and communicate scrap listings to ... aging or expiring inventory. Inventory Adjustment & Status Workflows Process and review inventory adjustments over $500 or using designated codes (eg, RERR). Manage… more
- HCA Healthcare (Caldwell, ID)
- …patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Coding Quality Audit Reviewer like you to be a part of ... result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to...Our Talent Acquisition team is reviewing applications for our Coding Quality Audit Reviewer… more
- HCA Healthcare (Nashville, TN)
- …growth, we encourage you to apply for our Coding Quality Audit Reviewer opening. We promptly review all applications. Highly qualified candidates ... vary by location._** Come join our team as a Coding Quality Audit Reviewer...result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to… more
- Elevance Health (Roanoke, VA)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad, deep and niche knowledge of ... all lines of business, and its clients. Specializes in review of DRG coding via medical record...or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …adherence to government, payer, and institutional billing guidelines as well as national coding guidelines. The Senior Reviewer will assist in the development ... Work Plan, CMS transmittals, CPT/ICD updates) and internal operational risks, recommending audit priorities and monitoring strategies. + Review government and… more
- Zelis (FL)
- …interests that shape who you are. Position Overview The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay ... comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions.… more
- City of New York (New York, NY)
- …with all statutory, regulatory and contractual standards. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... Principal Administrative Associate, to function as a Senior Case Reviewer who will: - Conduct legally mandated case reviews...(Reynolds, Lovely H., MKB, Dajour, Davila, Brown, etc). Convert audit findings into reports that is presented to Family… more
- Magellan Health Services (Baton Rouge, LA)
- …other clinical staff. + Provides training, interpretation and support for QI Clinical Reviewer staff. + Audits and validates internal audit results and/or ... record documentation. + Conducts ongoing activities which monitor established quality of care standards in the participating provider network...a team member. Knowledge of ICD and DSM IV coding or most current edition. Ability to analyze specific… more
- Zelis (NJ)
- …responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the savings achieved ... as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA Coding Clinic evidence based...What you'll do: + Perform comprehensive inpatient DRG validation Quality Assurance reviews to determine accuracy of the DRG… more
- St. Luke's University Health Network (Allentown, PA)
- …be responsible for performing internal, concurrent, prospective and retrospective coding audit activities. The incumbent will also review and validate coded ... medical records of the Professional Coding (PC) staff to determine data quality ...one-on-one education sessions for PCs needing focused attention on audit findings. In addition, works in conjunction with network… more
- Carle Health (Champaign, IL)
- …Carle coding team members, and external coders to assure a high level of coding quality and accuracy for Carle. The manager organizes and coordinates the ... coding audit teams to achieve goals and reviews and implements policies to assure compliance with recommended coding quality levels. As part of the Health… more
- University of Miami (Medley, FL)
- …compliant coding on all Mortality cases prior to billing. The Inpatient Coding Review Specialist also performs quality reviews that specifically focus ... -Health Information Management Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely. The Inpatient … more
- Penn Medicine (Philadelphia, PA)
- …issues from various internal and external departments, the coding staff, the coding quality review staff, Office of Billing Compliance, providers, etc. ... 4th Floor Bala Cynwyd Hours: M-F, 8a-430p or similar Review coded medical records for coding and...limited to, inquiries for coding information: general coding and coding quality questions… more
- Cleveland Clinic (Cleveland, OH)
- …one of the most respected healthcare organizations in the world. As a Coding Quality Education Coordinator, you will provide one-on-one and classroom-based ... clinical documentation and coding education to medical staff, Advanced Practice Providers and...and operational systems and processes relative to reimbursement and quality statistics through chart review and other… more
- Trinity Health (Newtown Square, PA)
- …risk score coding . + Conducts pre and post encounter medical record review coding and documentation for accuracy and completeness. + Identifies opportunities ... efforts toward the integrity of clinical documentation through the roles of reviewer , educator, and consultant. Facilitates the overall quality , completeness,… more
- Providence (MT)
- …the best people, we must empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting ... + **This posting is for multiple openings of a Coding Quality Auditor, HEDIS** + **This position...in a medical record. + 2 years - HEDIS, Quality management/ quality improvement/utilization review auditing… more
- Atlantic Health System (Morristown, NJ)
- Responsible for coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in ... coding trends found during chart reviews, third party audit findings, and annual coding updates. +...rejections from recurring. + Meets with the providers to review the audit findings and to recommend… more
- Albany Medical Center (Albany, NY)
- …with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied ... in professional fee coding - required Essential Duties and Responsibilities + Review , analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by… more
- Fairview Health Services (St. Paul, MN)
- …Liaison to join our team! Coding Documentation Liaison. Documentation Liaison of Coding Quality and Support is a highly motivated professional who can work ... roles and influence the need for correct coding and compliance. Coding Documentation Liaisons perform retrospective and prospective Quality Assurance Checks… more
- University of Southern California (Los Angeles, CA)
- …The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding ... federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review ...rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of… more
