- Henry Ford Health System (Grand Blanc, MI)
- …retrospective evaluation and assimilation of the medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing ... Under the direction of the Outpatient Audit , Analytics & Technology Supervisor,...of services - from primary and preventative care to complex and specialty care, health insurance, a full suite… more
- Datavant (Boston, MA)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... healthcare. **What We're Looking For:** As a Profee Auditing Specialist , you will be instrumental in addressing consulting and...own workspace! Preferred: Skill set in Pro Fee ED, Outpatient Facility ED and Injections and Infusions **What You… more
- University of Washington (Seattle, WA)
- …clinical services in 5 hospitals, 14 primary care locations, and several outpatient sites in addition to telepsychiatry consultations to more than 150 clinics ... has an outstanding opportunity for a 50% FTE Program Operations Specialist .** **DUTIES AND RESPONSIBILITIES** The Center for Medication Development for Substance… more
- Veterans Affairs, Veterans Health Administration (Leavenworth, KS)
- Summary The Health System Specialist -Credentialing and Privileging Specialist is assigned to the Medical Staff Office, which is under the Chief of Staff at a VA ... direction and support to the credentialing and privileging (C&P) operations. The C&P Specialist is aligned to and supervised by the C&P Manager and ensures… more
- Boulder Community Hospital (Boulder, CO)
- Benefits Specialist - Leaves and ADA Boulder Community Health, Boulder, CO 80303 $25.98 - $38.98 an hour Full-Time, Days, 32-40 hours per week Hybrid Boulder ... Community Health is seeking a Benefits Specialist in Leaves and ADA that is responsible for...passion for helping people, advocating for inclusion, and understanding complex regulations, a career in benefits, leaves, and ADA… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis ... CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and defend the… more
- Trinity Health (Livonia, MI)
- …certification required, eg, Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technologist (RHIT), or Registered ... Must understand and have in depth knowledge of Hospital Outpatient Prospective Payment System, Inpatient Prospective Payment System, Medicare Physician… more
- Mount Sinai Health System (New York, NY)
- …procedures for matching checks to documentation in order to meet audit requirements. 6. Performs balancing procedures by verifying invoice batch information ... 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of...for all people, everywhere, by taking on the most complex health care challenges of our time - discovering… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …and HCPCS codes, including appropriate E/M assignment and modifier usage for outpatient health records. Audit function includes evaluation of clinical ... issues. Provides training and education to coding and clinical staff. Researches complex coding issues and participates in process improvements related to coding.… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …specific to certain diagnoses, procedures, and other criteria (in inpatient and outpatient settings) used to classify patients under the Veterans Equitable Resource ... above the journey level; however, for clinical documentation improvement specialist assignments, a clinical documentation improvement certification may be… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …abstracting, and use of the electronic health record and encoder software. Ensure audit findings and claim denials related to coding errors are resolved and/or daily ... facility staff. Assigns codes to documented patient care encounters (inpatient and/or outpatient ) covering the full range of health care services provided by the… more
- Billings Clinic (Billings, MT)
- …statistical and reimbursement purposes for all Billings Clinic inpatient and outpatient services. Alternatively, since Billings Clinic is an integrated delivery ... and reimbursement. * Maintains or exceeds 95% coding accuracy based on audit findings. * Maintains or exceeds department productivity standards for assigned areas… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Health Information Privacy Specialist , Centralized Privacy 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
- Mount Sinai Health System (New York, NY)
- …AAPC, AHIMA or ACDIS certification required ie CCS (Certified Coding Specialist ), CPC (Certified Coding Professional), CIC (Certified Inpatient Coder) or CCDS ... Certified Clinical Documentation Specialist *CRC (Certified Risk Adjustment Coder) strongly preferred. Must...revises or develops new tools as needed. Based upon audit results, provides feedback to medical teams which could… more
- Veterans Affairs, Veterans Health Administration (Prescott, AZ)
- …above the journey level; however, for clinical documentation improvement specialist assignments, a clinical documentation improvement certification may be ... documentation, coding inadequacies, and re-educate clinical and coding staff based on audit results. They act independently to plan, organize, and perform auditing… more
- Mohawk Valley Health System (Utica, NY)
- …) to ensure effective and efficient coding operations. Also, this role will audit the most complex service records to ensure coding and documentation ... of compliance, official coding guidelines and revenue cycle to solve complex problems, recommend resolution and implement solutions. Flexible work arrangements are… more
- Houston Methodist (Houston, TX)
- …Houston Methodist facilities. The Director manages personnel performing inpatient and outpatient medical record coding, DRG and APC assignment, abstracting, and data ... clinical services and enhance provider engagement. The role also supports audit readiness, drives performance improvement initiatives, and leverages data analytics… more