- University Health (San Antonio, TX)
- …for corrective action and process improvement. In this role, the auditor serves as a subject matter expert in healthcare coding standards such as CPT, ... Plan. This position is responsible for conducting complex audits of medical coding , billing, and documentation practices to ensure adherence to federal and state… more
- Mount Sinai Health System (New York, NY)
- … coding accuracy, productivity, and compliance. - Serve as the subject matter expert for PB and HB coding across specialties. Operational Oversight - ... and operational leader responsible for overseeing all aspects of professional and hospital coding across the health system. This role ensures coding … more
- Fairview Health Services (St. Paul, MN)
- …their application of such requirements in work completed. Director serves as a subject matter expert / technical competence and accountable leader for enterprise ... edits and changes that result in compliant and clean claim processes. Provides subject matter expertise on technical and compliance areas that impact claims… more
- Stanford Health Care (Palo Alto, CA)
- …Medical Association (AMA) CPT Assistant. The SPC Coding Specialist II serves as a subject matter expert in hospital and professional coding , and ... Coding Initiative (NCCI) and payer specific edits related to hospital and professional coding . The Single Path Coder processes codes for surgical encounters… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …coding processes, regulatory changes, and commercial contracts. Act as consultant and subject matter expert to support leadership and clinical departments on ... operational activities of assigned divisions for both physician and hospital coding within the Medical Coding...in the medical record. + Serve as a consultant, subject matter expert and liaison to TTUHSC… more
- St. Mary's Healthcare (Amsterdam, NY)
- …ensure all cases are final coded in accordance with facility specific goals. Acts as the subject matter expert for coding and handles coding staff issues ... / Licensure Minimum of 3 years of previous acute care hospital coding (ambulatory and inpatient) required. Required Skills and Attributes Ability to… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …coding terminology. . Demonstrated leadership skills. . Demonstrated ability as a subject matter expert or consultant to other departments. . Demonstrated ... in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for hospital or other acute facility setting. . Three (3) years of working… more
- Seattle Children's (Seattle, WA)
- …and trends relating to coding accuracy opportunities for providers. Serve as a subject matter expert on professional coding and payment methodologies as ... experience. Minimum of five years of experience in professional coding in an acute care hospital setting...in professional coding in an acute care hospital setting or clinic setting appropriate equivalent. Proficient knowledge… more
- Guidehouse (Minneapolis, MN)
- …and timely resolution of assigned Medicare and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, ... or Commercial Insurance EAPG's. + Knowledge and understanding of hospital charge description master coding systems and...to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to… more
- CommonSpirit Health (Prescott Valley, AZ)
- …present on each claim to facilitate clean claim submission. Serves as a subject matter expert, interacting daily with providers, Practice Managers, Revenue Cycle ... **Job Summary and Responsibilities** The Coding Analyst & Education Specialist position champions coding accuracy and integrity across our facilities and… more
- Aston Carter (Salem, OR)
- …and compliance with federal, state, and payer regulations. This position serves as a subject matter expert in coding workflows, documentation standards, and ... Job Title: Medical Coding Analyst Job Description The Medical Coding...healthcare organization without the bureaucracy and limitations of a hospital . Job Type & Location This is a Permanent… more
- Hartford HealthCare (Farmington, CT)
- …through cooperation. . Influence others for positive and productive outcomes. . Utilize coding subject matter expertise to support new specialized coders ... and compliance with laws and regulations with feedback and education to the hospital departments as needed.Evaluates current charging and coding structures and… more
- Rush University Medical Center (Chicago, IL)
- …in the education of departments regarding their CDM and missed charges * Serves as subject matter expert for fellow team members to review questions and assist ... Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital : Rush University Medical Center Department: Revenue Cycle Revenue Integrit… more
- BJC HealthCare (St. Louis, MO)
- …and training on accurate coding practices and compliance issues; serves as subject matter expert related to specialty coding . + Conducts focused ... giving instruction on federal and state regulations, documentation guidelines, and coding training in a way that ensures compliance with governmental regulations.… more
- Beth Israel Lahey Health (Burlington, MA)
- …highly impactful, fast paced environment . Excellent written and verbal communication . Subject matter expert with a full understanding and working knowledge of ... job, you're making a difference in people's lives.** The Manager of Coding & Clinical Documentation oversees a highly trained Clinical Documentation Specialist (CDS)… more
- BJC HealthCare (St. Louis, MO)
- …data abstraction. + Serves as a clinical documentation and quality subject matter expert; ensures effective coordination/collaboration with other departments ... successful in the role: + **Hierarchical Condition Category (HCC)** ** coding and risk adjustment** + **Bachelors degree** + **2...and leadership; serves on hospital and system committees as designated. + Coordinates staff… more
- Blue Matter (New York, NY)
- …expertise in supporting the development of effective US market access strategies: + Demonstrated subject matter expertise in the areas of US Coverage, Coding ... healthcare policy and the impact on access + Demonstrated subject matter expertise in both the medical...core sites of care, including physician offices / clinics, hospital outpatient departments, hospital inpatient, and long-term… more
- Houston Methodist (Katy, TX)
- …+ Demonstrates flexibility and adaptability in the workplace + Ability to serve as a subject matter expert in assigned area to provide support for staff + ... of Revenue Cycle, to include but not limited to: medical coding , insurance billing, collections, patient account resolution, appeals/denials, customer service, cash… more
- Highmark Health (Pittsburgh, PA)
- …along with providing direction and support to staff as needed. Serves as the subject matter expert and primary information source for revenue cycle functions by ... with evaluating staff performance and productivity as established by department/ hospital goals. Provide feedback to management regularly about all personnel,… more
- Huron Consulting Group (Chicago, IL)
- …the enterprise. The Coder-Inpatient provides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient ... and Reporting, Centers for Medicare/Medicaid Services (CMS) ICD-PCS Official Guidelines for Coding and Reporting o American Hospital Association (AHA) Coding… more
