- UnitedHealth Group (Minneapolis, MN)
- …to start Caring. Connecting. Growing together . In this position as a Coding & Clinical Auditor / DRG Specialist RN , you will apply your expert knowledge of ... criteria documentation requirements used to successfully substantiate code assignments Perform clinical coding review to ensure accuracy of medical coding… more
- SSM Health (St. Louis, MO)
- …Certificate & Competency Board - OASIS Certificate & Competency Board Or Home Care Clinical Specialist - OASIS (HCS-O) - Board of Medical Specialty Coding ... Specialty Coding and Compliance Or Home Care Coding Specialist - Diagnosis (HCS-D) - Board...- OASIS Certificate & Competency Board Or Home Care Clinical Specialist - OASIS (HCS-O) - Board… more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Revenue Cycle is hiring a Clinical Documentation Specialist to join our coding team. This position will be a work-from-home position working ... and diplomatic manner required. Licensure, Certifications, and Clearances: Certified Coding Specialist (CCS) OR Certified Registered Nurse Practitioner… more
- Guidehouse (St. Paul, MN)
- Job Family : General Coding Travel Required : None Clearance Required : None What You Will Do : Under the direction of the Director of Revenue Integrity, the Revenue ... Integrity Coding Billing Specialistprovides revenue cycle support services through efficient...Other claim level edits as assigned As needed, review clinical documentation and diagnostic results as appropriate to validate… more
- Fairview Health Services (St. Paul, MN)
- …Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) Outpatient or Professional Fee Coding ... Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or… more
- Elevance Health (Mason, OH)
- …RHIT certification as a Registered Health Information Technician, CCS as a Certified Coding Specialist , CIC as a Certified Inpatient Coder, or Certified ... of medical audit activities. Draws on extremely advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge...Clinical Documentation Specialist (CCDS). Requires minimum of… more
- Elevance Health (St. Louis, MO)
- …certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. Requires 5 ... will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical… more
- WellSpan Health (York, PA)
- …experience. Required Licenses: Certified Professional Coder Upon Hire Preferred or Certified Coding Specialist Upon Hire Preferred or Certified Coding ... General Summary Performs clinical documentation audits, evaluations and other reviews for...Duties and Responsibilities Essential Functions: Performs proactive or reactive coding compliance reviews as needed to identify or quantify… more
- Beth Israel Lahey Health (Charlestown, MA)
- …the HIM Clinical Documentation Improvement Specialist (CDIS) and clinical staff to evaluate inpatient coding and CDIS assignment; offers recommendations ... with the Director of Coding and Validation, Coding leadership, and collaborates with Clinical Documentation...and Validation, Coding leadership, and collaborates with Clinical Documentation Staff to assure coding uniformity,… more
- Highmark Health (Harrisburg, PA)
- …(Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) AAPC Credentials (Outpatient): Certified ... GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality… more
- Molina Healthcare (Phoenix, AZ)
- JOB DESCRIPTION Job Summary The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. ... records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case.../ GED (or higher) Required Experience 3+ years CPT coding experience (surgical, hospital, clinic settings) or 5+ years… more
- BayCare Health System (Raleigh, NC)
- …Shift: Flexible Days: Sunday - Thursday OR Tuesday - Saturday The Advanced Inpatient Coding Specialist is a PRN remote position. This position requires 3 years' ... Inpatient Coding experience and a Certified Coding Specialist (CCS) certification. The Advanced Inpatient...monitors bill hold reports. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department… more
- Datavant (St. Paul, MN)
- …experiences to realize our bold vision for healthcare. As an ProFee Audit Specialist you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, ...Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation. Communicate effectively with co-workers,… 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
- Oracle (Salem, OR)
- …exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for developing the Claim ... of HIM field helpful, with focus on different reimbursement methodologies, AHA coding guidelines, and Clinical Documentation Improvement experience. Knowledge of… more
- Trinity Health (Livonia, MI)
- …Experience working with current clinical processes, charge master maintenance, clinical coding guidelines, charging processes and audits, and clinical ... including but not limited to, appending modifiers, and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues… more
- Saint Francis Health System (Tulsa, OK)
- …Education: High School Diploma or GED. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) by AHIMA. Work Experience: Minimum of 3 ... inclusive nor does it prohibit the assignment of additional duties. Health Information Clinical Coding - Yale Campus Location Tulsa, Oklahoma 74136 EOE Protected… more
- Trinity Health (Livonia, MI)
- …revenue cycle activities. Must possess a demonstrated knowledge of charge master maintenance, clinical processes, clinical coding (CPT, ICD-10, revenue codes ... Audits Charge Master for each department including review of appropriate coding , departmental and pricing concerns; and ensuring proper recording of transactions… more
- Globus Medical, Inc. (Collegeville, PA)
- …of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and ... Position Summary : Reporting to the Supervisor, Patient Access, the Patient Access Specialist will focus on providing payer coverage support to customers from the… more
- UPMC (Pittsburgh, PA)
- …focuses on emotion and mental health in autism, is seeking a full-time research specialist . The primary responsibility for the applicant will be related to Project 2 ... and Clinical Core within an NIMH Autism Center of Excellence...are many ongoing and pending studies, and the research specialist may also be asked to support other studies… more
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