- Datavant (Honolulu, HI)
- …and life experiences to realize our bold vision for healthcare. As an ** Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and ... shape the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a...manager. + Prepare the final reports for the coding audit and actively participates in the resolution of … more
- Datavant (Boston, MA)
- …and life experiences to realize our bold vision for healthcare. As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and ... (at least 30 hours/week). MUST have 3-5+ years of audit experience at an Academic/Trauma Level 1 facility. Experience...software tool preferred. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work,… more
- Fairview Health Services (St. Paul, MN)
- …to billing, coding, and documentation. The Inpatient Coding Denials Specialist will also handle audit -related and compliance responsibilities. Additionally, ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the… more
- University of Southern California (Alhambra, CA)
- …- 2 years Lead Experience. Required Licenses/Certifications: + Req AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; or ... compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all coding-related 'claims denials'… more
- Community Health Systems (Springdale, AR)
- …**Job Summary** The coding consultant ensures precise code assignment for inpatient , outpatient, and emergency service diagnoses, procedures, and conditions as ... RHIA - Registered Health Information Administrator required + CCS-Certified Coding Specialist required This position is not eligible for immigration sponsorship now… more
- Highmark Health (Harrisburg, PA)
- …:** Allegheny Health Network **Job Description :** **_*This role will cover Inpatient Auditors and will require Inpatient (AHIMA) credentials._** **GENERAL ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …above the journey level; however, for clinical documentation improvement specialist assignments, a clinical documentation improvement certification may be ... collection. Provides education to clinical and coding staff. They assess current audit findings and evaluate impact to coding and documentation practices. Oversees… more
- Mayo Clinic (Rochester, MN)
- … Specialist (CCS) or CIC certification to accurately assign inpatient codes, ensuring compliance with coding guidelines and supporting optimal reimbursement. ... OPT STEM. **Qualifications** Associate's and 7 years of experience as an Inpatient Clinical Documentation Improvement Specialist (CDIS) required OR Bachelor's… more
- University of Southern California (Alhambra, CA)
- As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various ... the various entities to the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization of data between the… more
- Beth Israel Lahey Health (Cambridge, MA)
- …the Director of Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported quality data by leading the ... optimizing performance on the key performance indicators and quality measures, the RN specialist also aims to foster a culture of safety by specifically focusing on… more
- Huron Consulting Group (Chicago, IL)
- …the Domestic Business Office leadership team. **KEY JOB DUTIES:** + Responsible for the inpatient auditing of coders and/or " audit the auditors" to ensure coding ... create your future. Job Description Summary The Coding Integrity Specialist will be responsible for executing a variety of...team counterparts and leaders. + May assist in preparing audit reports, share direct feedback to coders and auditors… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- …Devereux's Children Behavioral Health Center (DCBHC) is currently seeking an Admissions Specialist to work at their acute psychiatric inpatient hospital for ... joining our Devereux Advanced Behavioral Health team! Being a Part-time Admission Specialist at Devereux has its Advantages! You will work with other dedicated… more
- St. Luke's University Health Network (Allentown, PA)
- …patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all ... and procedure code assignment and MS-DRG/APR-DRG accuracy based on denials or audit findings from government and commercial payers. Meet or exceed established… more
- Magellan Health Services (Albuquerque, NM)
- …of Wellness to set whole-health goals. Assist with transitions from inpatient , residential, and alternative care settings to community-based recovery supports. ... accurate, timely, and complete documentation to ensure records meet compliance, audit , and reporting requirements. Participate in supervision, training, and ongoing… more
- Penn Medicine (Philadelphia, PA)
- …51 N 39th St Hours: 8hr Days **Summary:** The Clinical Documentation Specialist will be responsible for supporting an organization-wide system for improving clinical ... and other clinicians for complete and accurate documentation. The CD Specialist will utilize presentation, general instruction, and a compliant query discussion… more
- Cleveland Clinic (Cleveland, OH)
- …disease care and improving outcomes for children. As a Pharmacy Clinical Specialist - Pediatric Infectious Disease at Cleveland Clinic Main Campus, you'll ... collaborate closely with the Pediatric ID inpatient consult service, providing expert clinical support and performing key antimicrobial stewardship activities such… more
- Northwell Health (Lake Success, NY)
- …risk of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and all commercial payers. ... medical record through a concurrent review process throughout the patient's inpatient stay. 4.Requests clarification of clinical documentation from the physician(s)… more
- Veterans Inc. (Shrewsbury, MA)
- …what it takes to be part of the Veterans Inc. team! The Recovery Specialist Supervisor is responsible for the day-to-day oversight and supervision of the Recovery ... reports (including narratives and data reports) as needed. Maintains and monitors audit ready client files and documentation as required. + Attends and participates… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43114BR** **Extended Job Title:** Coding Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Review medical record provider ... and applicable Modifier(s) to specialty medical documentation for outpatient and inpatient medical coding and timely billing. + Assist with onboarding training… more
- University of Southern California (Los Angeles, CA)
- The Transplant Charge Specialist (TCS) is responsible for the comprehensive review of charges under the transplant program and revenue capture surrounding transplant ... liver, kidney, pancreas, etc.) for commercial, Medicare, hospital-based, provider-based inpatient and outpatient transplant accounts to support appropriate allocation… more
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