- Covenant Health Inc. (Knoxville, TN)
- …Coding Manager and or CFO of CMG, works with the Chief Compliance Officer relative to coding , billing and reimbursement compliance issues. + Performs ... staff. Serves as a resource to coders, CDI staff, Quality and Case Managers, Decision Support and physician office...(3) to five (5) years experience in acute care coding , both inpatient and out-patient and/or physician… more
- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- …and inpatient services, including providers, nursing, schedulers, administrative, various quality programs and others to ensure that Veteran care is coordinated, ... The Mann-Grandstaff VA Healthcare System is committed to providing high- quality , continuous patient care. The Physician Executive/Chief Medical Informatics … more
- Zelis (St. Petersburg, FL)
- …coding and billing, analyzing inpatient DRG claims based on industry standard inpatient coding guidelines, and supporting the Office of the Chief Medical ... Officer in managing disputes related to clinical claim reviews....CM, MS-DRG and APR-DRG claims preferred + Current, active Inpatient Coding Certification required ( ie .… more
- Molina Healthcare (Rio Rancho, NM)
- …appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care. **ESSENTIAL JOB DUTIES:** + Facilitates ... appropriateness of services provided, length of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct … more
- University of Virginia (Charlottesville, VA)
- …related field or 3 years of experience in performing complex compliance inpatient coding reviews. Licensure: Healthcare compliance certification through the HCCA ... the regulatory compliance profession, research and auditing procedures, and certified coding regulatory and/or financial billing rules. Uses professional verbal and… more
- Penn Medicine (Philadelphia, PA)
- …reflect the true severity of illness (SOI), risk of mortality (ROM), and quality of care provided. This role is primarily administrative (approximately 80%) with a ... act as a resource and liaison between our clinical staff, CDI Team, coding professionals, and hospital leadership. Serving our health system, this individual will… more
- Logan Health (Kalispell, MT)
- …with purpose. Support with compassion. Make a system-wide impact! Our Mission: Quality , compassionate care for all. Our Vision: Reimagine health care through ... in a professional, collaborative manner + Partnering with the Chief Medical Officer on utilization review initiatives, length of stay management, and patient… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …will be responsible for the identification and performance of Billing Compliance inpatient and ambulatory activities. The Senior Reviewer will assist in the ... letters and supporting documentation as required for delivery to Chief Compliance Officer for final submission to payer. * Review government and commercial payer… more
- University of Utah (Salt Lake City, UT)
- …of Compliance Managers and administrative staff. Conducts scheduled and unscheduled inpatient , outpatient, and professional audits and projects related to billing ... Oversees, coordinates, and conducts audits on documentation, abstraction, and coding to ensure compliance with University, State, and Federal guidelines.… more
- Northern Light Health (Bangor, ME)
- …processing of payroll, tracking of time and attendance, tracking of quality metrics, daily charges, schedule management, patient panels, taking meeting notes, ... the practice manager's absence. + Acts as a designee for the safety officer for practice, to include all safety training, conducting safety related drills,… more
- HCA Healthcare (Nashville, TN)
- …today! **Job Summary and Qualifications** At the direction of the Chief Operating Officer , the Director of Imaging & Cardiovascular Services is responsible for the ... Services, including, but not limited to fiscal management, planning, quality assurance, personnel management, and coordinating services within Skyline Medical… more