- Stanford Health Care (Palo Alto, CA)
- …of America) **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the ... as well as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical… more
- Datavant (Honolulu, HI)
- …and life experiences to realize our bold vision for healthcare. As an ** Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and ... shape the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a...manager. + Prepare the final reports for the coding audit and actively participates in the resolution of … more
- Datavant (Boston, MA)
- …and life experiences to realize our bold vision for healthcare. As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and ... (at least 30 hours/week). MUST have 3-5+ years of audit experience at an Academic/Trauma Level 1 facility. Experience...software tool preferred. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work,… more
- Independent Health (Buffalo, NY)
- …knowledge and audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in Hospital Audit in accomplishing all aspects ... a clinical setting or utilizing a coding system (ICD-10 or PCS) required. Coding audit experience in an inpatient setting preferred. + Knowledge of ICD-10-CM and… more
- University of Miami (Medley, FL)
- …Miami/UHealth -Health Information Management Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely. The ... Inpatient Coding Review Specialist (H) under the general direction of the ...provides detailed feedback to the Revenue Cycle Director and Audit Specialists. + Assists in resolving claim edits across… more
- University of Southern California (Alhambra, CA)
- …- 2 years Lead Experience. Required Licenses/Certifications: + Req AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; or ... compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all coding-related 'claims denials'… more
- Veterans Affairs, Veterans Health Administration (Memphis, TN)
- …(RHIA) Certified Professional Coder (CPC) Certified Outpatient Coder COC) Certified Inpatient Coder (CIC) Certified Coding Specialist (CCS) (3) Clinical ... Summary Inpatient /Outpatient (Coder) chooses codes from current versions of...correct any identified data errors or inconsistencies. They ensure audit findings have been corrected and refiled. They use… more
- Veterans Affairs, Veterans Health Administration (Memphis, TN)
- …(RHIA) Certified Professional Coder (CPC) Certified Outpatient Coder COC) Certified Inpatient Coder (CIC) Certified Coding Specialist (CCS) (3) Clinical ... Summary Inpatient (Coder) chooses codes from current versions of...correct any identified data errors or inconsistencies. They ensure audit findings have been corrected and refiled. They use… more
- Highmark Health (Harrisburg, PA)
- …:** Allegheny Health Network **Job Description :** **_*This role will cover Inpatient Auditors and will require Inpatient (AHIMA) credentials._** **GENERAL ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and… more
- University of Washington (Seattle, WA)
- …or more content areas ERHI has coding oversight for Serve as an expert in Inpatient coding , respond to general coding questions (ICD, DRG, CPT and HCPCS), engage in ... the development and/or implementation of audit /monitoring plans, participate in the development and/or delivery of educational and outreach materials, report on unit… more
- The Cigna Group (Bloomfield, CT)
- The Quality Review & Audit Senior Analyst exhibits expertise in evaluating complex medical documentation for diagnosis code accuracy and compliance in support of the ... (HCC) expertise, evaluating data accuracy and record compliance, executing on audit requirements, and identifying and recommending process improvements within the RA… more
- The Cigna Group (Bloomfield, CT)
- The Quality Review and Audit Senior Supervisor is responsible for day-to-day oversight of a team of Coding Analysts specializing in HHS Risk Adjustment medical ... record diagnostic coding and quality audit review for the Individual and Family Plan (IFP)...specialty: + **Certified Professional Coder (CPC)** + **Certified Coding Specialist for Providers (CCS-P)** + **Certified Coding Specialist… more
- Mayo Clinic (Rochester, MN)
- … Specialist (CCS) or CIC certification to accurately assign inpatient codes, ensuring compliance with coding guidelines and supporting optimal reimbursement. ... OPT STEM. **Qualifications** Associate's and 7 years of experience as an Inpatient Clinical Documentation Improvement Specialist (CDIS) required OR Bachelor's… more
- University of Southern California (Los Angeles, CA)
- As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various ... the various entities to the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization of data between the… more
- Beth Israel Lahey Health (Cambridge, MA)
- …the Director of Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported quality data by leading the ... optimizing performance on the key performance indicators and quality measures, the RN specialist also aims to foster a culture of safety by specifically focusing on… more
- St. Luke's University Health Network (Allentown, PA)
- …patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all ... and procedure code assignment and MS-DRG/APR-DRG accuracy based on denials or audit findings from government and commercial payers. Meet or exceed established… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- …Devereux's Children Behavioral Health Center (DCBHC) is currently seeking an Admissions Specialist to work at their acute psychiatric inpatient hospital for ... joining our Devereux Advanced Behavioral Health team! Being a Part-time Admission Specialist at Devereux has its Advantages! You will work with other dedicated… more
- Magellan Health Services (Albuquerque, NM)
- …of Wellness to set whole-health goals. Assist with transitions from inpatient , residential, and alternative care settings to community-based recovery supports. ... accurate, timely, and complete documentation to ensure records meet compliance, audit , and reporting requirements. Participate in supervision, training, and ongoing… more
- Penn Medicine (Philadelphia, PA)
- …day. Are you living your life's work? **Summary:** + The Inventory Control Specialist is a Pharmacy Technician III who is responsible for properly maintaining an ... enter products into one of our automated inventory systems. The Inventory Control Specialist will ensure that inventory cycle counts are completely regularly and in… more
- Penn Medicine (Philadelphia, PA)
- …TIME (Anytime between 7am-7pm Monday-Friday) **Summary:** The Clinical Documentation Specialist will be responsible for supporting an organization-wide system for ... and other clinicians for complete and accurate documentation. The CD Specialist will utilize presentation, general instruction, and a compliant query discussion… more
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