- Regal Medical Group, Inc. (Northridge, CA)
- …will be detail-oriented and able to research and successfully evaluate often- complex clinical information to help formulate decisions and communication with members, ... provide better care. From time to time, meet with individual PCP or specialist or provider group to review best practices, authorization requests and denials,… more
- Henry Ford Health System (Grand Blanc, MI)
- …retrospective evaluation and assimilation of the medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing ... Under the direction of the Outpatient Audit , Analytics & Technology Supervisor,...of services - from primary and preventative care to complex and specialty care, health insurance, a full suite… more
- University of Washington (Seattle, WA)
- …clinical services in 5 hospitals, 14 primary care locations, and several outpatient sites in addition to telepsychiatry consultations to more than 150 clinics ... has an outstanding opportunity for a 50% FTE Program Operations Specialist .** **DUTIES AND RESPONSIBILITIES** The Center for Medication Development for Substance… more
- Boulder Community Hospital (Boulder, CO)
- Benefits Specialist - Leaves and ADA Boulder Community Health, Boulder, CO 80303 $25.98 - $38.98 an hour Full-Time, Days, 32-40 hours per week Hybrid Boulder ... Community Health is seeking a Benefits Specialist in Leaves and ADA that is responsible for...passion for helping people, advocating for inclusion, and understanding complex regulations, a career in benefits, leaves, and ADA… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis ... CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and defend the… more
- Trinity Health (Ann Arbor, MI)
- …Shift **Description:** **An Opportunity to Join our Remarkable Care** **Patient Access Specialist ** **awaits YOU ** **_St. Joseph Mercy Health System (SJMHS)_** is ... 2,700 physicians and 14,000 nurses and staff, and includes 5 Hospitals, 5 Outpatient Health Centers, 8 Urgent Care Facilities and over 25 Specialty Centers. Saint… more
- Trinity Health (Livonia, MI)
- …certification required, eg, Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technologist (RHIT), or Registered ... Must understand and have in depth knowledge of Hospital Outpatient Prospective Payment System, Inpatient Prospective Payment System, Medicare Physician… more
- Mount Sinai Health System (New York, NY)
- …procedures for matching checks to documentation in order to meet audit requirements. 6. Performs balancing procedures by verifying invoice batch information ... 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of...for all people, everywhere, by taking on the most complex health care challenges of our time - discovering… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- …and HCPCS codes, including appropriate E/M assignment and modifier usage for outpatient health records. Audit function includes evaluation of clinical ... monitors for PTF, PCE, VERA and Non-VA Medical Care (purchased care) coding. Audit accurate and complete assignment of ICD-10-CM and ICD-10-PCS codes, MSDRG, POA… more
- Veterans Affairs, Veterans Health Administration (Las Vegas, NV)
- …collection. Collect and prepare data for studies involving inpatient stays and outpatient encounters for clinical evaluation purposes, prepare and maintain a variety ... of complex records and daily, monthly, or "on demand" reports,...or "on demand" reports, as requested. Creates and monitors outpatient reports, inpatient case mix reports, top DRGs, and… more
- Corewell Health (Grand Rapids, MI)
- …is a high-impact role for a visionary leader who thrives in complex environments and is passionate about transforming healthcare through operational excellence and ... Manage the vendors that are hired to perform Universal program review and audit functions for Priority Health. Oversee all activities associated with delivering an … more
- Billings Clinic (Billings, MT)
- …statistical and reimbursement purposes for all Billings Clinic inpatient and outpatient services. Alternatively, since Billings Clinic is an integrated delivery ... and reimbursement. * Maintains or exceeds 95% coding accuracy based on audit findings. * Maintains or exceeds department productivity standards for assigned areas… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Health Information Privacy Specialist , Centralized Privacy Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... region's top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and specialty services (http://www.covenanthealth.com/services/) , and Covenant Medical… more
- Mount Sinai Health System (New York, NY)
- …AAPC, AHIMA or ACDIS certification required ie CCS (Certified Coding Specialist ), CPC (Certified Coding Professional), CIC (Certified Inpatient Coder) or CCDS ... Certified Clinical Documentation Specialist *CRC (Certified Risk Adjustment Coder) strongly preferred. Must...revises or develops new tools as needed. Based upon audit results, provides feedback to medical teams which could… more
- Veterans Affairs, Veterans Health Administration (Murfreesboro, TN)
- …documentation, coding inadequacies, and re-educate clinical and coding staff based on audit results. They act independently to plan, organize, and perform auditing ... above the journey level; however, for clinical documentation improvement specialist assignments, a clinical documentation improvement certification may be… more
- Mohawk Valley Health System (Utica, NY)
- …) to ensure effective and efficient coding operations. Also, this role will audit the most complex service records to ensure coding and documentation ... of compliance, official coding guidelines and revenue cycle to solve complex problems, recommend resolution and implement solutions. Flexible work arrangements are… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Revenue Integrity Specialist Full Time, 80 Hours per pay period, Day Shift C ovenant Health Overview: Covenant Health is the region's top-performing ... healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and specialty services (http://www.covenanthealth.com/services/) , and Covenant Medical… more
- Houston Methodist (Houston, TX)
- …Houston Methodist facilities. The Director manages personnel performing inpatient and outpatient medical record coding, DRG and APC assignment, abstracting, and data ... clinical services and enhance provider engagement. The role also supports audit readiness, drives performance improvement initiatives, and leverages data analytics… more
