- 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
- MultiPlan (Atlanta, GA)
- …and we are where bright people come to shine! The Senior Medical Coding Specialist provides analysis of the highest dollar and most complex claims by applying ... billing for medical appropriateness of treatment; analyze charges of various revenue centers with consideration to patient diagnosis, procedures, age and facility… more
- Option Care Health (Springfield, IL)
- …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 ... information related to coinsurance, copay, deductibles, authorization requirements, etc.Creates documentation required to service the patient per policy and payer… 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)
- 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
- Kelsey-Seybold Clinic (Houston, TX)
- …of Kelsey-Seybold's (KS) product lines and health plans. The MCA Risk Adjustment Clinical Documentation Specialist team is a highly-skilled team of ... Clinical Documentation Specialist in the outpatient setting providing...the Risk Adjustment program which is designed to impact revenue through compliant, accurate and complete diagnosis assessment and… 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
- Weill Cornell Medical College (New York, NY)
- …denials for their root causes thereby driving efficiencies, to include clinical documentation improvement and coding denials prevention. **Job Responsibilities** ... Title: Revenue Cycle Specialist - Revenue Integrity...related insurance payment denials. The CBO partners with WCM Clinical Departments to increase and expedite service revenue… more
- Howard University Hospital (Washington, DC)
- Radiology Revenue Cycle Specialist : FT 40 hours per week, Monday Friday ( 8am -430pm) No weekends required. With over 150 years of caring for our community and ... outcomes. Howard University Hospital seeks to hire an Radiology Revenue Cycle Specialist who will embrace our...appropriate charging, reconciliation processes, etc. Serves as liaison between clinical and revenue cycle areas on new… 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 ... future each day. Are you living your life's work? **Job Title:** Revenue Cycle Specialist **Department:** Emergency Department **Entity:** CPUP **Location:**… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Revenue Integrity Specialist position identifies revenue opportunities and works collaboratively with Revenue Cycle staff to drive ... 5. Coordinates with the RI Auditor to review provider/clinician documentation to verify that the medical record supports the...related field, or ten (10) or more years of clinical or healthcare revenue cycle experience required.… 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
- Trinity Health (Fort Wayne, IN)
- **Employment Type:** Full time **Shift:** **Description:** The Specialty Pharmacy Revenue Cycle Specialist is responsible for performing the appropriate ... with clinical staff to ensure all required information and documentation are obtained prior to appeal submission. Participates in quality improvement activities.… more
- Northwell Health (Lake Success, NY)
- … leadership and Health Information Management to ensure the transition of clinical documentation within the electronic medical record. Ensures the accuracy ... and process patient reported errors or requests for amendment of clinical documentation and assists medical staff with responding. 7.Ensure that queries from… 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
