- 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 external ... Provider-Based Business Office Manager Job Summary The Provider-Based Business Office ...implement methods to maximize efficiency and compliance related to coding , billing, accounts receivable, and reimbursement processes and procedures.… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY_* We are currently seeking an *Inpatient Coding and Clinical Documentation Improvement Manager *to join our Middle Revenue Administration team. This ... prepares, and distributes meaningful reports using multiple databases. * Manage audit processes of medical record documentation and facilitates monitoring,… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Certified Medical Coding Manager - Remote** **Location:** Trinity Health PACE Corp ... am to 330 pm Eastern **Position Purpose:** The Certified Medical Coding Manager oversees the...Lead auditing efforts, coordinate communications with PACE Organizations on audit outcomes, and work with coders/providers to develop and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Ongoing mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit , monitoring, and ... audit findings in MDAudit and communicates with the Manager , Compliance Audit and Analysis if ...communicate coding information, including the results of coding compliance audit activities. + Proficiency in… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Ongoing mentorship and leadership programs + And more! **Description** Reporting to the Manager , Compliance Audit and Analysis, develops and executes audit , ... and manages findings of audits or other reviews in MDAudit, and works with the Manager , Compliance Audit and Analysis, if issues need to be entered into the… more
- UNC Health Care (Chapel Hill, NC)
- …variety of software (eg Optum, Epic, PWC SMART, MS Office, Audit Manager etc.) to compile and validate medical information. **Other Information** Other ... feedback. 8. Provides input on performance of coders and audit information to supervisor for performance evaluations. 9. Provides...If associate's degree: Five (5) years of experience in medical coding or acute care consisting of… more
- Tidelands Health (Myrtle Beach, SC)
- …moderate to high complexity using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. ... Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical...forth by AHIMA. Abstracting required clinical information from the medical record. Queries physicians as needed, to clarify documentation… more
- AdventHealth (Altamonte Springs, FL)
- …to the compliance department. Provides suggestions on process improvement. . Works with the audit team and coding manager to develop meaningful education and ... as well as supporting on-going quality assurance needs for coding staff. They will review medical records...quality assurance audits while adhering to inpatient and/or outpatient coding policies, procedures, and established audit schedule;… more
- R1 RCM (Detroit, MI)
- …communication Must be a self-starter. **Desired Qualifications** : Two (2) years of inpatient coding audit experience is preferred. Experience in a large (> 500 ... advice to coding staff and relays needed coding educational topics to the Regional Manager ,...results. + Reports to, and works with, the Regional Manager to identify improvements in the audit … more
- R1 RCM (Boise, ID)
- …communication Must be a self-starter **Desired Qualifications:** + Two (2) years of inpatient coding audit experience is preferred + Experience in a large (> 500 ... advice to coding staff and relays needed coding educational topics to the Regional Manager ,...results + Reports to, and works with, the Regional Manager to identify improvements in the audit … more
- Highmark Health (Columbus, OH)
- …:** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to ... performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for… more
- Columbus Regional Hospital (Columbus, IN)
- … coding initiatives. + Proactively identifies areas of opportunity to improve coding quality based on audit feedback, coder questions, physician escalations, ... CM and CPT-4 classification systems, utilizing Optum. + Assists Manager with monitoring, coordinating and responding to external audits...and/or Experience + A minimum of 5 years of coding and audit experience required. + 7… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and ... the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation… more
- Mount Sinai Health System (New York, NY)
- …documentation. + Provides written reports to supervisor or manager with audit results. Documents any coding deficiencies noted. + Reviews, modifies and ... + Demonstrates the ability to create and utilize the coding audit tools required to include the...and manages the coding process for all coding specialties including surgical, medical procedures and… more
- Hartford HealthCare (Farmington, CT)
- …and CPT assistant or other resources as appropriate. . Assists with processing HIM Coding validation denial and audit finding letters to third party vendor. . ... coding guidelines *_Working Relationships:_* *This Job Reports To (Job Title):*HIM Coding Quality Manager . Follows H3W Leadership Behaviors** . Abides by… more
- Covenant Health Inc. (Knoxville, TN)
- …with significant latitude for initiative and independent judgment. Reports to the Corporate Coding Manager or CFO of CMG as appropriate. Recruiter: Sarah Grey ... If applicable, provides corporate oversight of any current departmental coding audit programs. + Works with coders/CDI...proper compliance stance. + Under the direction of Corporate Coding Manager and or CFO of CMG,… more
- Insight Global (Hialeah, FL)
- …of diagnosis coding and medical necessity. The Revenue Integrity Coding Specialist will be accountable to the Manager of Revenue Integrity. This ... standards, maintaining a rate of 5 accounts per hour. Audit work lists and reports, making necessary corrections to...to obtain CCS within two years at BHSF. Diagnosis coding experience and medical necessity knowledge experience-… more
- Fallon Health (Worcester, MA)
- …purpose:** Under the general direction of the Senior Internal Audit Manager , theAnalyze and interpret patient medical records pertaining to FWA ... from medical records. Responsible for maintaining current knowledge of coding guidelines and relevant federal and/or state regulations Interface with other… more
- Trinity Health (Livonia, MI)
- …Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp Michigan **Status:** ... and claims processing. Duties also include abstracting and validating data from medical records, and providing education on documentation to support HCCs. **Position… more
- Capital One (Mclean, VA)
- Center 1 (19052), United States of America, McLean, Virginia Sr. Manager Cyber Technical, Technology Audit **Capital One's Audit function is a dedicated ... professionals focused on delivering top-quality assurance services to the organization's Audit Committee. Audit professionals are experienced, well-trained and… more