- CDPHP (Albany, NY)
- …values and invites you to be a part of that experience. The Clinical Review and Coding Nurse is responsible to attain procedure and diagnosis coding accuracy ... payment. The RN will support provider audit functions including assessment of coding , practice trends and evaluation of programs, and recommend areas for… more
- R1 RCM (Boise, ID)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret ... position. **Here's what you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to appeal denied and… more
- Northwell Health (Garden City, NY)
- …Seeking RN - BSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource ... standards are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews codes… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services submitted and pricing the claims ... and share information with the team. Key Qualifications: + Registered Nurse with certified coding experience and the ability to apply nursing judgement to… more
- BrightSpring Health Services (Louisville, KY)
- …Clinical review will require a current license/registration by state of hire as a nurse + Successfully completed HCS-D coding certification, required and to be ... Our Company BrightSpring Health Services Overview The Clinical Coding and Audit Specialist monitors, responds and performs the clinical coding and audit support… more
- NHS Management, LLC (Tuscaloosa, AL)
- …environment. + Relate to management immediately of all instances of improper charting/ coding of Nurse Practitioners and Physician Assistants. + Support, ... quality of the business office. QUALIFICATIONS + Associate's Degree in Medical Coding or successful completion of a certification program with successful completion… more
- Scripps Health (San Diego, CA)
- …Education/Experience/Specialized Skills/Certification:* * Clinical certification or license (eg, Registered Nurse , Allied health) * Coding certification (CPC, ... optimization and has knowledge of Medicare and Payer regulations, Coding and Billing rules. * It is preferred if...denial management. * Knowledge of ICD 10 and/or CPT/HCPCS coding * Knowledge of healthcare delivery in Hospital and… more
- Beth Israel Lahey Health (Boston, MA)
- …difference in people's lives.** This position is responsible for facilitating the coding , auditing and billing process according to CMS, BIDMC, other federal ... and directs efforts across the Department of OB/GYN to streamline the compliant coding and revenue cycle process with the ultimate goal of optimizing the… more
- Municipality of Anchorage (Anchorage, AK)
- PUBLIC HEALTH BILLING & CODING CLERK (Accounting Clerk III) - Range 10 / AMEA Print (https://www.governmentjobs.com/careers/moa/jobs/newprint/4503997) Apply PUBLIC ... HEALTH BILLING & CODING CLERK (Accounting Clerk III) - Range 10 /... systems. This position will work closely with the Nurse Supervisors to identify efficiencies and creative ideas to… more
- Virtua Health (Marlton, NJ)
- …over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques ... distance to Marlton, NJ Job Summary: Responsible for professional fee (pro-fee) coding quality and audits, education and training, etc. for CPT, ICD-10-CM, and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Office and Google Suite platforms. **Licenses and Certifications Required:** + Certified Coding Specialist. + NJ State Professional Registered Nurse License. ... healthcare and serve as a leader of positive change. The **Inpatient Coding /Quality Educator** designs, delivers and evaluates coding education and training… more
- Northwell Health (Lake Success, NY)
- …Full review of CDI suggested code changes + Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. + ... standards are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews codes… more
- UNC Health Care (Chapel Hill, NC)
- …that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity to entity ... through and complete the CDS training modules. 3. Provides ongoing documentation and coding education to CDI Physician Advisers and CDS staff. 4. Provides input to… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- _*SUMMARY:*_ We are currently seeking a* Coding Educator*to join our Hospital Billing OP Coding team. This full-time role will primarily work remotely (SHIFT: ... Day). *Purpose of this position:*Responsible for providing ongoing coding education to coding employees who are providing coding and billing services.… more
- UPMC (Harrisburg, PA)
- This CDI Coding Lead is a hybrid opportunity that oversees CDI operations for UPMC Harrisburg and UPMC Community Osteopathic. The selected candidate would have the ... CDI optimization for inpatients concurrently, as well as post coding DRG optimization, including the coordination of training/education related initiatives… more
- UTMB Health (Galveston, TX)
- … Coding Specialist (CCS) certification, and a minimum of 3 years medical coding experience. **Or** . Registered nurse (or medical school graduate) with a ... with physicians, members of the patient care team, and hospital coding staff. **Function:** Ensures clinical documentation accurately reflects the appropriate level… more
- Trinity Health (Farmington Hills, MI)
- …manner possible: + Coordinates follow-up activities with Utilization Review/Case Management/ Coding / Nurse Liaison to provide required clinical support, as ... well as to ensure timely follow-up and action for account appeals. + Works with Patient Access and other necessary parties to resolve account authorization issues. + Applies knowledge of specific payer payment rules, managed care contracts, reimbursement… more
- Trinity Health (Farmington Hills, MI)
- …manner possible: + Coordinates follow-up activities with Utilization Review/Case Management/ Coding / Nurse Liaison to provide required clinical support, as ... well as to ensure timely follow-up and action for account appeals. + Works with Patient Access and other necessary parties to resolve account authorization issues. + Applies knowledge of specific payer payment rules, managed care contracts, reimbursement… more
- Martin's Point Health Care (Portland, ME)
- …as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of the Utilization Review Team and is responsible for ... for services requiring clinical review prior to payment. The Utilization Review Nurse will use appropriate governmental policies as well as specified clinical… more
- Catholic Health Services (Smithtown, NY)
- …Responsibilities to include other duties as assigned. Adheres to all approved AHIMA coding guidelines. Education: Registered Nurse (BSN preferred), Nurse ... severity of illness and risk of mortality through extensive interaction with physicians, coding and other health care professionals; serves as a resource to improve… more
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