- Dana-Farber Cancer Institute (Brookline, MA)
- …and targeted monitoring. This role conducts complex, risk-based audits across coding , charge capture, and documentation to assess adherence to government, payer, ... and institutional billing guidelines as well as national coding guidelines. The Senior Reviewer will assist in the development and execution of the annual Billing… more
- Covenant Health Inc. (Knoxville, TN)
- …Coding Manager and or CFO of CMG, works with the Chief Compliance Officer relative to coding , billing and reimbursement compliance issues. + Performs ... staff. Serves as a resource to coders, CDI staff, Quality and Case Managers, Decision Support and physician office...(3) to five (5) years experience in acute care coding , both inpatient and out-patient and/or physician… more
- Molina Healthcare (NE)
- …medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care. This position will be supporting ... appropriateness of services provided, length of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct … more
- Catholic Health (Buffalo, NY)
- …sections of the revenue cycle: + Patient Access + Health Information Management + Coding and Coding Education + Inpatient , Outpatient and Ambulatory Clinical ... within Catholic Health. This role also has secondary oversight for inpatient clinical denials, Utilization Management and vendor performance of Healthcare Solutions… more
- Penn Medicine (Philadelphia, PA)
- …reflect the true severity of illness (SOI), risk of mortality (ROM), and quality of care provided. This role is primarily administrative (approximately 80%) with a ... act as a resource and liaison between our clinical staff, CDI Team, coding professionals, and hospital leadership. Serving our health system, this individual will… more
- University of Utah (Salt Lake City, UT)
- …of Compliance Managers and administrative staff. Conducts scheduled and unscheduled inpatient , outpatient, and professional audits and projects related to billing ... Oversees, coordinates, and conducts audits on documentation, abstraction, and coding to ensure compliance with University, State, and Federal guidelines.… more
- Prime Healthcare (Inglewood, CA)
- …our dedicated team of professionals are committed to our core values of quality , compassion, and community. As a member of Prime Healthcare, a Top-15 hospital ... for 100 years. An award-winning facility, ranking in the top 5% nationally for quality and patient safety, Centinela Hospital is a 362-bed acute-care hospital with a… more
