- Unknown (Denver, CO)
- …payer stakeholders, as well as shaping payer-specific payment policies and providing clinical and coding rationale during client interactions. This role requires ... Officer (CMO) to serve as a physician executive and clinical leader, with a focus on driving trusted client...client relationships, guiding payment integrity policy, and representing the clinical voice in product innovation. The CMO will be… more
- Unknown (Buffalo, NY)
- …revenue cycle sections, including patient access, health information management, coding , clinical documentation integrity, charge masters, revenue integrity, ... and all aspects of billing, follow-up, collections, denials, and cash processing. Additionally, the role involves ensuring regulatory compliance and managing processes related to charity care and bad debt. The ideal candidate will be adept at leading a large… more
- Unknown (Pensacola, FL)
- …a focus on quality improvement, utilization and cost management, coding and documentation improvement, regulatory compliance, and patient experience enhancement. ... The successful candidate will work closely with other clinical and administrative leaders to ensure the effectiveness of care, coding , credentialing, and… more
- Unknown (Houston, TX)
- …for overseeing all revenue cycle functions, including billing, collections, denial management, coding , and patient access, across the enterprise. The role is pivotal ... as well as maximizing net revenue through enhanced revenue integrity and clinical documentation practices. The ideal candidate will have a collaborative leadership… more
- CenterWell (Orlando, FL)
- … clinical documentation, and coding to join our team as a Clinical Coding Education Facilitation Lead - Provider Coding Curriculums. In this ... Responsibilities:** + Design and develop provider education programs focused on clinical documentation, risk adjustment, and coding accuracy for value-based… more
- CenterWell (Tampa, FL)
- …This role uses clinical expertise and knowledge of risk adjustment and coding to present educational materials in a way that improves documentation accuracy, ... coding , value-based care, and preventive/chronic disease management + Experience delivering clinical or coding education to providers, Nurse Practitioners, or… more
- MD Anderson Cancer Center (Houston, TX)
- …part of a world-class team dedicated to Making Cancer History(R). As a *Senior Clinical Coding Specialist* in our *Revenue Operations and Coding Department*, ... Administration, or related healthcare field. *WORK EXPERIENCE* * Required: 5 years Clinical coding experience for complex or multi-specialties. or * Required:… more
- UHS (Binghamton, NY)
- …and analysis to achieve our mission. Under the direction of the Director of Clinical Coding and Compliance, this position is responsible for assisting coding ... Position OverviewAssist in providing overall financial management of the Coding Department in such a manner as to provide the resources… more
- Centene Corporation (New York, NY)
- …**Position Purpose:** Responsible for developing, conducting, administering, and analyzing clinical coding training and auditing programs. The Senior ... Clinical Coding Auditor & Trainer will...in development of training and audit tools. The Senior Clinical Coding Auditor & Trainer position is primarily… more
- HCA Healthcare (Ocala, FL)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have ... caring group of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical ... Level I . Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of… more
- Elevance Health (Richmond, VA)
- …eliminate and prevent unnecessary medical-expense spending. The **Managers of DRG Coding & Clinical Validation** leads a high-performing team responsible ... or process improvement and efficiency recommendations. .Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate… more
- St. Luke's University Health Network (Allentown, PA)
- … Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that ... the coding professionals and be able to refute the clinical validation or coding determination made by the government or commercial payors, or their auditor… more
- UC Health (Cincinnati, OH)
- UC Health is hiring a Full Time Clinical Documentation Improvement Specialist for Corporate Coding Services The Clinical Documentation Improvement Specialist ... will work with physicians to facilitate appropriate clinical documentation to ensure that the level of services...record, and has been coded by the hospital HIM Coding staff. About UC Health UC Health is an… more
- Henry Ford Health System (Troy, MI)
- …REQUIRED: + Coding Credential (CPC, COC, CCA, CCS, RHIT) or Clinical Credential (RN, NP, PA) preferred. Additional Information + Organization: Corporate Services ... collaboratively with Revenue Cycle staff to drive process improvement, educate clinical departmental staff, and document workflows. Primary areas of focus include… more
- Banner Health (AZ)
- …Reviews medical records. Performs an audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding ... demonstrate the ability to understand the Medicare Prospective Payment System, and the clinical coding data base and indices, and must be familiar with coding… more
- Trinity Health (Fort Lauderdale, FL)
- …required. + Neurosurgery experience preferred + Must possess a demonstrated knowledge of clinical processes, clinical coding (CPT, HCPCS, ICD-9/10, revenue ... charge reviews; including but not limited to, appending modifiers and checking clinical documentation. Works closely with Revenue Integrity staff and providers to… more
- Rush University Medical Center (Chicago, IL)
- …EMR charge capture support. 7. Serves as a liaison point of contact for clinical coding inquiries and communication for professional billing revenue cycle 8. ... conducting reviews of EMR documentation of patient encounters to ensure coding accuracy and documentation adequacy. The professional will work collaboratively with… more
- University of Utah Health (Salt Lake City, UT)
- …of six years experience of HIM Management. + Four years of experience with coding ICD-10. + Clinical Coding Specialist (CCS) certification. + Certified ... by clinical indicators and treatment. + Develops and coordinates coding education and formal training programs. + Improves documentation by participating in… more
- Ellis Medicine (Schenectady, NY)
- …to provide timely, accurate, and complete posting and billing of patient demographic and clinical coding data as well as managing and tracking results. SECTION ... and Labor regulations. + Responsible for oversight of all medical coding functions utilizing both the clinical and financial systems + Responsible for coding … more
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