- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Revenue Integrity Clinical Coding Analyst RN ? At Parallon, you come first. HCA Healthcare has ... difference. We are looking for a dedicated Revenue Integrity Clinical Coding Analyst RN like...and patient audits. **Qualifications that you will need:** + Registered Nurse Degree required. + Minimum 1… more
- Commonwealth Care Alliance (Boston, MA)
- … Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration ... Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding … more
- Catholic Health (Buffalo, NY)
- …the following credentials is required: RN , LPN, CCS-P, CPC, CRC, or other coding credential EXPERIENCE + Extensive clinical and Coding knowledge and ... Schedule: Days Hours: M-F 8-4 pm Summary: The Manager, Ambulatory Coding Education & Clinical Documentation will be directly responsible for the oversight of the… more
- Catholic Health Initiatives (Chattanooga, TN)
- …action plans based on analysis. + Works collaboratively with Revenue Cycle Staff, Coding team, Clinical Informatics, and other MMS staff associated with HCC ... review, education and necessary follow-up to help ensure that clinical documentation and coding services meet government...or must be obtained within the first year. Prefer RN , LPN, or CMA state of TN/GA but not… more
- Hartford HealthCare (Farmington, CT)
- …Responsibilities:_* 1. Analyze and resolve specific billing edits and denials that require coding and billing expertise with some clinical knowledge that are ... modifiers, diagnosis codes as appropriate including charge corrections 2. Identify charging, coding , or clinical documentation issues and work with appropriate… more
- SSM Health (MO)
- …Division of Professional Registration + Or + Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by Compact State + Or + Registered ... complete and accurate. **Principal Duties and Responsibilities** Facilitates appropriate clinical documentation to support appropriate diagnosis coding ...+ Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by… more
- Geisinger (Danville, PA)
- …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... clarify existing documentation. Acts as a liaison between the clinical and coding functions. Provides education to...Holidays: None On-Call: None Education and Experience: 3 years RN work experience is required; BSN is strongly preferred… more
- UPMC (Pittsburgh, PA)
- …Maintain or exceed designated quality and production goals. Maintain employee/insured confidentiality. + Registered Nurse ( RN ). + Bachelor of Science in ... regarding the analysis of care and services related to clinical guidelines, coding requirements, regulatory requirements, and...CCA, CCS, CCS-P, CRC) or AHFI designation required. + Registered Nurse ( RN ) + Act… more
- McLaren Health Care (Pontiac, MI)
- …and pay for performance documentation requirements on an on-going basis. **Required:** + Current Registered Nurse License in the State of practice + Minimum 5 ... The Clinical Documentation Improvement (CDI) Specialist is responsible for...team regarding clinical documentation needs, changes to clinical documentation guidelines, coding and reimbursement issues,… more
- Access Dubuque (Dubuque, IA)
- …Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS) ... Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS)… more
- Trinity Health (Dubuque, IA)
- …Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS) ... Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS)… more
- Hackensack Meridian Health (Neptune, NJ)
- …strong Medical/Surgical experience. **Licenses and Certifications Required:** + Current state Registered Nurse license. + Certified Clinical Documentation ... and serve as a leader of positive change. The ** Clinical Documentation Specialist RN ** facilitates improvement in...process for follow-up reviews and physician communication. + Reviews clinical issues with coding staff to assign… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to a team of clinical ( RN ) reviewers and offers guidance on clinical and coding integrity reviews that are required by the FEP Association to ensure ... FEP is BCBSMA's single largest account Position Summary: The RN Clinical Provider Post Service Review Manager...Provider Post Service Review Manager , led by a Registered Nurse , is responsible for a team… more
- Guthrie (Binghamton, NY)
- …in an acute care setting along with current CCDS certification may substitute for BSN RN ‐PA Registered Nurse ‐ PA: Current Pennsylvania State registered ... interaction with physicians, nursing staff, other patient caregivers, medical records coding staff to ensure that clinical documentation accurately reflects… more
- Hawaii Pacific Health (Aiea, HI)
- …Starting Hourly Rate: 56.76 **Exempt:** Yes **Minimum qualifications:** Current Hawai'i Registered Nurse License. Bachelor's degree and/or equivalent combination ... guidelines and to expedite reimbursement. You will use both clinical and coding knowledge to obtain documentation through extensive interaction with physicians,… more
- Fairview Health Services (St. Paul, MN)
- …Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse ( RN ), Certified Documentation Integrity Specialist ... to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal...Information Administrator (RHIA). AND + One of the following: Registered Nurse ( RN ), Certified Documentation… more
- Trinity Health (Maywood, IL)
- …in giving back to those we serve. **We seek colleagues with:** Requirements Current Registered Nurse License in the State of practice, Certified Physician ... a lasting impact. The Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical… more
- Baptist Memorial (Memphis, TN)
- …patient population, and offers education and recommendations in accordance with the Clinical Documentation Program. Provides coding expertise in the clinical ... coding and serves as a resource to the coding staff. Reports to the Corporate Clinical ...+ Employee referral program Job Summary: Position: 13739 - Specialist- Clinical Documentation III RN Facility: BMH -… more
- Medical Mutual of Ohio (OH)
- …Ohio State Nursing Board. Bachelor's degree preferred + 3 years' experience as a Registered Nurse in acute care, critical care, emergency medical or medical ... coding or medical documentation investigation preferred Professional Certification: + Registered Nurse with current State of Ohio unrestricted license… more
- HCA Healthcare (Nashville, TN)
- …equivalent combination of education and/or experience required Licenses, Certifications, & Training: + Registered Nurse - Currently licensed as a Registered ... requirements. _HSC Escalation:_ + Using critical thinking skills, independent discretion, clinical judgement, Official Coding Guidelines, DRG Classification, and… more