- Henry Ford Health System (Grand Blanc, MI)
- …evaluation and assimilation of the medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing knowledge ... Under the direction of the Outpatient Audit , Analytics & Technology Supervisor, in conjunction with OP Audit Analysts and Coordinators will utilize… more
- Datavant (Olympia, WA)
- …realize our bold vision for healthcare. **What We're Looking For:** As an Outpatient Auditing Specialist , you will be instrumental in addressing consulting and ... Spinal and Orthopedics. **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts...**What You Need to Succeed:** + 5+ years of outpatient facility coding experience and/or auditing + CCS (preferred),… more
- Datavant (Hartford, CT)
- …to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related ... manager. + Prepare the final reports for the coding audit and actively participates in the resolution of ...trauma centers + Experience coding and auditing inpatient and outpatient records for various facilities + Track record of… more
- Community Health Systems (Springdale, AR)
- …Summary** The coding consultant ensures precise code assignment for inpatient, outpatient , and emergency service diagnoses, procedures, and conditions as documented ... RHIA - Registered Health Information Administrator required + CCS-Certified Coding Specialist required This position is not eligible for immigration sponsorship now… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Coding Audit & Education Coordinator will be responsible for performing internal, concurrent, prospective ... and retrospective coding audit activities. The incumbent will also review and validate...Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD PCS… more
- University of Southern California (Alhambra, 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
- 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
- Penn Medicine (Bala Cynwyd, PA)
- …Full-Time, Per Departmental Needs** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care Service Line, Director of Quality ... coder (CPC or CCS-P) is responsible for detailed analysis of outpatient medical record documentation to ensure appropriate and correct coding. **Accountabilities**… more
- Huron Consulting Group (Chicago, IL)
- …are now and create your future. Job Description Summary The Coding Integrity Specialist will be responsible for executing a variety of activities involving the ... team. **KEY JOB DUTIES:** + Responsible for the inpatient auditing of coders and/or " audit the auditors" to ensure coding accuracy of a minimum of 95% is met.… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Accounts Payable Specialist Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing ... healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and specialty services (http://www.covenanthealth.com/services/) , and Covenant Medical… more
- Guidehouse (St. Paul, MN)
- …are following policy and capturing all necessary charges. + Incorporating a audit scorecard for charge reconciliation audits + Escalate departments noncompliant with ... accurate medical codes for diagnoses, procedures and services performed in the outpatient setting. For example: emergency department visits, outpatient clinic… more
- Rush University Medical Center (Chicago, IL)
- …resolution and reimbursement, and assists the pharmacy with Medicare audit -related billing information and patient balance collections. **Responsibilities** + ... + Assists management with the training of new employees on all the outpatient pharmacy billing systems. + Assists management and new employees on coding issues,… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43114BR** **Extended Job Title:** Coding Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Review medical record provider ... ICD-10-CM, HCPCS codes, and applicable Modifier(s) to specialty medical documentation for outpatient and inpatient medical coding and timely billing. + Assist with… more
- University of Southern California (Los Angeles, CA)
- The Transplant Charge Specialist (TCS) is responsible for the comprehensive review of charges under the transplant program and revenue capture surrounding transplant ... pancreas, etc.) for commercial, Medicare, hospital-based, provider-based inpatient and outpatient transplant accounts to support appropriate allocation of costs to… more
- Northwell Health (Lake Success, NY)
- …functions/job duties accurately and efficiently. Assists in processing all inpatient, outpatient and reoccurring accounts for all payers and all facilities, in ... guidelines and their impact on billing and reimbursement in clinical research. 9. Audit and review accounts to ensure accuracy; investigate and correct errors,… more
- Chapa-De (Auburn, CA)
- …worked) + Retirement Plan with 6% match Duties: + Calculate, process and audit payroll and benefit transactions in the HRIS system including changes to salaries, ... + CPP certification is highly desirable. About Us: Chapa-De is a non-profit community outpatient health center with a mission to advance the health and well-being of… more
- Sharp HealthCare (San Diego, CA)
- …1 **Shift Start Time** **Shift End Time** Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Other; Certified Health Care ... is responsible for the administration of the Sharp HealthCare's (SHC's) compliance audit program. The position provides oversight and maintenance of a high-quality,… more
- Texas Health Resources (Arlington, TX)
- …internal controls and compliance procedures. Coding & Documentation Review - Assist the audit team with inpatient, outpatient , and provider coding assessments to ... as well as THR policies. Key responsibilities include analyzing audit data to identify areas of concern, collaborating with...Administrator Upon Hire Required Or CCS - Certified Coding Specialist Upon Hire Required Or CPC - Certified Professional… more
- Elevance Health (Chicago, IL)
- …Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines ... advanced that disputes or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you will make an impact:** + Analyzes and audits… more
- Fairview Health Services (St. Paul, MN)
- …Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) + Outpatient or Professional Fee Coding: Registered ... Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) + Outpatient or Professional Fee Coding: Registered… more
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