- LifePoint Health (Brentwood, TN)
- …guidelines for billing and coding . . Monitor and supervise personal coding quality review engagement scheduling and progress of reviews; ... * Review Specialist, Coding Quality ...* Review Specialist, Coding Quality & Education* *Who we...coding professional based on the findings of the coding quality reviews. . Prepare audit… more
- AdventHealth (Altamonte Springs, FL)
- … Coding Clinic(R), CMS guidelines, NCCI guidance, etc. . Provides outcomes of coding quality audit reviews with leadership . Maintains current knowledge ... as supporting on-going quality assurance needs for coding staff. They will review medical records...and/or outpatient coding policies, procedures, and established audit schedule; translates quality auditing results into… more
- HCA Healthcare (Nashville, TN)
- …, and clinical data abstraction quality . The AVP provides executive leadership to the Coding Quality Review and Coding Analysis and Technology teams, ... abstraction quality efforts. + Leads continuity and collaboration on enterprise wide coding quality trending and initiatives with the AVP of Vendor Resource… more
- The Cigna Group (Bloomfield, CT)
- …strategy & execution and be familiar with value-based reporting metrics and HCC analysis._ _The Quality Review and Audit Lead Analyst will be instrumental in ... **_Primary Functions:_** _Works in conjunction with coding audit oversight & compliance, Global...implementing new technologies to better support value-based programs and quality outcomes. + Responsible for supporting partnerships with medical… more
- The Cigna Group (Nashville, TN)
- …patterns noticed in provider coding + Perform the minimum number of coding quality reviews consistent with established departmental goals + Take direction ... Supervisor and Population Health leadership + Maintain a 95% quality audit accuracy rate + Maintain strictest...credentials are kept up to date. + Conduct preliminary audit review of Annual Wellness Visit forms… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …minimize risk related to external auditors (ex: RAC, MIC, ZIP, etc.) regarding quality , profiling, coding and reimbursement measures. * Lead the communication ... and objectives of the department. * Manage the PSI/HAC review program in conjunction with Quality Performance...* Develop and plan educational programs to providers about quality documentation, ICD coding , profiling and hospital… more
- CVS Health (Tallahassee, FL)
- …+ Minimum of 3 years recent and related experience in medical record documentation review , diagnosis coding , and/or auditing. + Minimum of 3 years of experience ... more personal, convenient and affordable. **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to… more
- Atlantic Health System (Morristown, NJ)
- Responsible for coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in ... coding trends found during chart reviews, third party audit findings, and annual coding updates. 6....rejections from recurring. 7. Meets with the providers to review the audit findings and to recommend… more
- Columbus Regional Hospital (Columbus, IN)
- …new coding initiatives. + Proactively identifies areas of opportunity to improve coding quality based on audit feedback, coder questions, physician ... for diagnoses and services performed (HCPCS/CPT codes). + Develops quality audit reports that identify trends and...provider education accordingly. + Assists in the formulation and review of policies and guidelines affecting the coding… more
- Healthfirst (NY)
- …and AVP. + Maintains statistics on coding accuracy and provides monthly summaries of coding audit results + Acts as a resource on coding issues and ... notes and assigns correct procedure and diagnosis codes. + Review and analyze new ICD10 coding guidelines,...coding guidelines on all the specialties. + Reviews audit results to identify and analyze trends, recommend and… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …to queries. . Responsible for audit planning and execution. Develops comprehensive audit plans to review coding and billing practices. Responds to ... and implement methods to maximize efficiency and compliance related to coding , billing, accounts receivable, and reimbursement processes and procedures. Job… more
- Conviva (Tallahassee, FL)
- …partner with offshore coding team and leaders to address post-visit review coding KPIs ( quality , Turn-Around-TAT, appropriate clinician queries). + ... for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify coder errors… more
- AdventHealth (Maitland, FL)
- …purposes. The Senior Inpatient Coder provides a level of experience and expertise such that coding quality review is not needed prior to billing. The Senior ... ability to complete records with a minimum of data quality review . Has responsibility to ensure the...validation as needed for newer coders and for external coding audit review + Mentors… more
- Tidelands Health (Murrells Inlet, SC)
- …and accurate assignment of present on admission (POA) indicators. + Consistently meets coding quality and productivity standards established by the coding ... review documentation and serve as department expert on coding questions. + Gathers and verifies all information required...with the Compliance/ Quality Team when alerted to coding quality issues found via internal or… more
- CareFirst (Baltimore, MD)
- … Coding Specialist supports prospective risk adjustment via concurrent review and supplemental data CMS filing, HHS-Risk Adjustment Data Validation (RADV) ... audit and any other chart coding functions, by performing moderately complex medical record review and coding , ensuring compliance with all applicable… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Performs coding and documentation quality audits; provides feedback to coding and ... Establish process to obtain copies of government initiated audits. + Conduct concurrent audit / review to determine possible risks and opportunities to assist in… more
- Insight Global (Hialeah, FL)
- …Day to Day: Position Overview: We are seeking a dedicated Revenue Integrity Coding Specialist to join a healthcare provider in south Florida. This role focuses ... on ensuring accurate coding for outpatient surgery and facility settings. The ideal...revenue cycle departments when adjustments are necessary. Key Responsibilities: Review and correct codes for outpatient surgery and facility… more
- Tufts Medicine (Burlington, MA)
- …patient account. 4.Reviews reports with leadership to identify discrepancies. 5. Reviews audit lists regarding coding /billing changes, as well as denial reports. ... within Epic, for missing documentation. Works with leadership to review denial reports as well as participating in internal...and community. 20. Participates in coding audits coding staff in order to maintain quality … more
- Billings Clinic (Billings, MT)
- You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and ... regional locations) and how we are recognized nationally for our exceptional quality . Your Benefits We provide a comprehensive and competitive benefits package to… more
- ProMedica Health System (Toledo, OH)
- …and documentation accuracy; summarize information and make suggestions to improve processes. Review code change requests to determine accurate coding and/or ... POSITION SUMMARY Provide training, audit , and consultation services to providers, office staff,...consultation services to providers, office staff, billing staff, and coding staff. Ensures medical service documentation and coding… more