- Henry Ford Health System (Detroit, 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
- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- …and HCPCS codes, including appropriate E/M assignment and modifier usage for outpatient health records. Audit function includes evaluation of clinical ... monitors for PTF, PCE, VERA and Non-VA Medical Care (purchased care) coding. Audit accurate and complete assignment of ICD-10-CM and ICD-10-PCS codes, MS-DRG, POA… more
- R1 RCM (Detroit, MI)
- …team to develop and refine quality improvement initiatives. + Maintain detailed audit records and assist in preparing quality performance reports and dashboards. + ... + Serve as a resource for coding questions and provide clarification on complex cases. **Required Qualifications:** + High school diploma or equivalent required. +… 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 (Hines, IL)
- …Director. The primary purpose of the position is to perform a variety of complex auditing activities for various business operations of Edward Hines Jr. VA Hospital, ... including the Community Based Outpatient Clinics (CBOC) in support & oversight of the...is not a virtual position Position Description/PD#: Health Systems Specialist ( Integrity and Compliance Auditor)/PD170010 Requirements Conditions of… 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
- Veterans Affairs, Veterans Health Administration (Montrose, NY)
- Summary The incumbent serves as a Supervisory Mobility Transportation Specialist - Mobility Manager and manages all Veterans Transportation System (VTS) and ... and common carrier transportation. Responsibilities The Supervisory Mobility Transportation Specialist - Mobility Manager supervises/ensures the VTS and BT processes… 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
- Fairview Health Services (St. Paul, MN)
- …system, including the Prospective Payment Systems (PPS) for inpatient and outpatient hospital services and the Medicare Physician Fee Schedule (MPFS) applicable ... services. Must be highly organized and possess professional and/or outpatient coding certifications with specific experience in auditing provider documentation,… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …and HCPCS codes, including appropriate E/M assignment and modifier usage for outpatient health records. Audit function includes evaluation of clinical ... monitors for PTF, PCE, VERA and Non-VA Medical Care (purchased care) coding. Audit accurate and complete assignment of ICD-10-CM and ICD-10-PCS codes, MS-DRG, POA… more
- Elevance Health (Norfolk, VA)
- …Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, ... acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG,...appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you will make an… more
- Veterans Affairs, Veterans Health Administration (Vancouver, WA)
- …and HCPCS codes, including appropriate E/M assignment and modifier usage for outpatient health records. Audit function includes evaluation of clinical ... is a major medical facility with ten Community Based Outpatient Centers or clinics, is a level 1A facility,...PCE, VERA and Non-VA Medical Care (purchased care) coding. Audit accurate and complete assignment of ICD-10-CM and ICD-10-PCS… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …and HCPCS codes, including appropriate E/M assignment and modifier usage for outpatient health records. Audit function includes evaluation of clinical ... monitors for PTF, PCE, VERA and Non-VA Medical Care (purchased care) coding. Audit accurate and complete assignment of ICD-10-CM and ICD-10-PCS codes, MS-DRG, POA… more
- Veterans Affairs, Veterans Health Administration (Fort Meade, SD)
- …data collection Provide education to clinical and coding staff Assess current audit findings and evaluate impact to coding and documentation practices Oversee the ... reporting of coding and documentation audit results to leadership Collect and prepare data for studies involving inpatient stays or "on demand" reports, as requested… 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
- 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
- Billings Clinic (Billings, MT)
- …require a review of relevant information. Such reviews may be part of the annual audit work plan or as assigned throughout the year. Audits data to ensure that ... for statistical and reimbursement purposes for all Billings Clinic inpatient and outpatient services. * Researches and responds to questions from Billings Clinic… more
- Zelis (NJ)
- …addition, The Manager, IBR will research and stay abreast of inpatient and outpatient coding updates to ensure the team is capturing all potential saving ... Zelis: + Coding certification required (eg Certified Professional Coder (CPC), Certified Coding Specialist (CCS)) + RN preferred, but not required + 5+ years of… more