- CenterWell (Columbus, OH)
- …value-based, senior care model in the primary care network. The Associate Director, Clinical Coding Education ( RN ) will develop, design, and deploy the ... of role-based trainers and training facilitators. The Associate Director, Clinical Coding Education ( RN ) role...insurance and many other opportunities. **About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care… more
- Commonwealth Care Alliance (Boston, MA)
- … Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective claims ... auditing and clinical coding...auditing and clinical coding and reimbursement edits and necessary coding ...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an… more
- Medical Mutual of Ohio (OH)
- …inpatient and professional claim irregularities, overpayments and provider appeals from a clinical coding perspective, applying coding guidelines. Analyzes ... questions with payment recovery staff.** + **Performs other duties as assigned.** ** Sr Clinical Auditor** + **Audits outpatient, inpatient and professional… 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 ... methodology in which to clarify existing documentation. Acts as a liaison between the clinical and coding functions. Provides education to the medical staff and… more
- Commonwealth Care Alliance (Boston, MA)
- …and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims, settlement, claims auditing and/or utilization ... Important to Us:** **Position Summary:** Working under the direction of the Sr . Director, TPA Management and Claims Compliance, the Payment Integrity (PI) Recovery… more
- Geisinger (Danville, PA)
- …Body; Certified Clinical Documentation Specialist - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & ... Job Summary The Clinical Documentation Improvement Program is designed to improve...for improvement. + Promotes a partnership with the inpatient coding professionals to ensure the accuracy of principal diagnosis,… more
- Sanford Health (Fargo, ND)
- …outcomes, provides or coordinates education to all internal customers related to compliance, coding , and clinical documentation issues and acts as a consultant ... practice. Knowledge and experience in case management, utilization management and/or Coding highly preferred. Currently holds an unencumbered RN license with… more
- CareFirst (Baltimore, MD)
- …experience is required in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact ... ability to pay or deny a claim or claim lines using clinical and/or coding , billing, or reimbursement knowledge. + Maintain appropriate records and supporting… more
- University of Colorado (Aurora, CO)
- … clinical setting. + Participate as needed in chart review and clinical coding compliance activities. + Collaborate as appropriate with medical staff ... of the position include, but are not limited to: ** Sr . Instructor:** ** Clinical Care** + Provide full...an NCCPA-approved physician assistant program + Licensed as a Registered Nurse and Nurse Practitioner… more
- HCA Healthcare (Houston, TX)
- …AVAILABLE NORTH HOUSTON AREA** **Introduction** Do you have the career opportunities as a Registered Nurse Home Health you want in your current role? We invest ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- HCA Healthcare (Tallahassee, FL)
- …assigned education by established deadlines. Requirements: + Travel may be up to 25% + Registered Nurse - Currently licensed as a registered professional ... causes and trends. + Represent CDI in multi-departmental projects that have clinical documentation implications. + Participate in coding and documentation pilots… more
- HCA Healthcare (Charleston, SC)
- …assigned education by established deadlines. Requirements: + Travel may be up to 25% + Registered Nurse - Currently licensed as a registered professional ... trends. + Represent CDI in multi-departmental projects that have clinical documentation implications. + Participate in coding ...to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and… more
- HCA Healthcare (Pensacola, FL)
- …Cardiac Life Support must be obtained within 30 days of employment start date + Registered Nurse + Bachelors Degree HCA Florida West Hospital is a 515-bed ... program outcomes through data collection to assist with documentation, coding , clinical care and outcomes. + Acts...to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and… more
- Elevance Health (Olathe, KS)
- …provide an equivalent background. **Preferred Skills, Capabilities and Experiences:** + RN ; Medical billing and coding certification strongly preferred. Please ... **Provider Reimburse Admin Sr ** **Location:** This position will work a hybrid...of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.… more
- HCA Healthcare (St. Petersburg, FL)
- …and Corporate reporting requirements. You will work closely with providers, coding , and Clinical Documentation Improvement Specialists to capture accurate ... reporting requirements. + You will work closely with providers, coding , and Clinical Documentation Improvement Specialists to...to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and… more
- Henry Ford Health System (Troy, MI)
- …CERTIFICATIONS/LICENSURES REQUIRED: + Coding Credential (CPC, COC, CCA, CCS, RHIT) or Clinical Credential ( RN , NP, PA) preferred. + Certification in some or ... Under limited supervision from the Manager, Revenue Integrity or other more senior Revenue Integrity leaders, the Revenue Integrity Senior Specialist is… more
- Hartford HealthCare (Hartford, CT)
- …timely, accurate and complete identification and reporting of cancer cases, collection of clinical data, coding of medical information into the tumor registry ... most comprehensive treatment options and innovative therapies available. We believe quality clinical care and cancer research are inextricably linked and have a… more
- Zelis (Morristown, NJ)
- …or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment ... business, financial, legal and scientific communities Professional Experience: + RN or LPN required + Coding and...skills + Highly organized with attention to detail + Clinical skills to evaluate appropriate Medical Record Coding… more
- HCA Healthcare (Largo, FL)
- …and Corporate reporting requirements. + You will work closely with providers, coding , and Clinical Documentation Improvement Specialists to capture accurate ... need:** + Current Florida RN license + RN , BSN Preferred + 3-5 years clinical ...to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and… more
- Ascension Health (Baltimore, MD)
- …Improvement Specialists obtained prior to hire date or job transfer date. + Registered Nurse credentialed from the Maryland Board of Nursing obtained prior ... Condition Category) coding and CDI experience** Maryland or compact State RN license required **Benefits** Paid time off (PTO) Various health insurance options &… more