- Henry Ford Health System (Grand Blanc, MI)
- …evaluation and assimilation of the medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing knowledge ... Under the direction of the Outpatient Audit , Analytics & Technology Supervisor, in conjunction with OP Audit Analysts and Coordinators will utilize… more
- Datavant (Jackson, MS)
- …realize our bold vision for healthcare. **What We're Looking For:** As an Outpatient Auditing Specialist , you will be instrumental in addressing consulting and ... the future of healthcare from your own workspace! Seeking Outpatient Auditor proficient in SDS, I&I, Observation, ED. Plus...in Profee ED. **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts… more
- Datavant (Boise, ID)
- …life experiences to realize our bold vision for healthcare. As an **ProFee Audit Specialist ** you will be instrumental in addressing consulting and educational ... manager. + Prepare the final reports for the coding audit and actively participates in the resolution of ...trauma centers + Experience coding and auditing inpatient and outpatient records for various facilities + Track record of… more
- Community Health Systems (Springdale, AR)
- …Summary** The coding consultant ensures precise code assignment for inpatient, outpatient , and emergency service diagnoses, procedures, and conditions as documented ... RHIA - Registered Health Information Administrator required + CCS-Certified Coding Specialist required This position is not eligible for immigration sponsorship now… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Coding Audit & Education Coordinator will be responsible for performing internal, concurrent, prospective ... and retrospective coding audit activities. The incumbent will also review and validate...Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD PCS… 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
- University of Southern California (Alhambra, CA)
- …compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all coding-related 'claims denials' ... will provide guidance and training to other HIM Coding Denials Management Specialist , and will assist with escalated issues. Essential Duties: + CODING AUDITING… 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
- Insight Global (Pleasanton, CA)
- Job Description Insight Global is seeking a Medicare Billing Specialist to join their clients team. The Medicare Billing Specialist is responsible for the ... accurate preparation, submission, and reconciliation of Medicare claims for outpatient mental health services. This role ensures compliance with Medicare regulations… 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
- Mayo Clinic (Rochester, MN)
- …quality metrics and hospital ratings and rankings Reviews inpatient and/or outpatient medical records to ensure accurate representation of severity of illness. ... environment. May perform ICDI DRG Secondary Reviews as well as support audit and denial related activities. Performs special projects / Quality Improvement… more
- Huron Consulting Group (Chicago, IL)
- …are now and create your future. Job Description Summary The Coding Integrity Specialist will be responsible for executing a variety of activities involving the ... team. **KEY JOB DUTIES:** + Responsible for the inpatient auditing of coders and/or " audit the auditors" to ensure coding accuracy of a minimum of 95% is met.… more
- Trinity Health (Livonia, MI)
- …preferred. + **Must have one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist , Certified Professional Coder thru ... Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp Michigan **Status:** Full time… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Accounts Payable Specialist Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing ... healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and specialty services (http://www.covenanthealth.com/services/) , and Covenant Medical… more
- Guidehouse (St. Paul, MN)
- …are following policy and capturing all necessary charges. + Incorporating a audit scorecard for charge reconciliation audits + Escalate departments noncompliant with ... accurate medical codes for diagnoses, procedures and services performed in the outpatient setting. For example: emergency department visits, outpatient clinic… more
- Trinity Health (Columbus, OH)
- …a wide variety of professional roles including information technology, financial analysis, audit , provider relations and more. **About the job:** Provider Service ... Specialist responds in a timely and accurate manner to...each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care… more
- Trinity Health (Columbus, OH)
- …of professional roles including information technology, financial analysis, audit , provider relations and more. **Position Purpose** Contracts/Benefits Configuration ... Specialist position performs a variety of analytical and configuration...each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care… more
- Insight Global (Tukwila, WA)
- Job Description * The Pharmacy Billing Specialist is responsible to proactively audit , monitor, and analyze complex dispensing and charging information, ... Infusion or Specialty Pharmacy) or three years pharmacy technician experience in an outpatient pharmacy setting * 2 years' Experience with computers in data entry 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 ... ICD-10-CM, HCPCS codes, and applicable Modifier(s) to specialty medical documentation for outpatient and inpatient medical coding and timely billing. + Assist with… 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 ... pancreas, etc.) for commercial, Medicare, hospital-based, provider-based inpatient and outpatient transplant accounts to support appropriate allocation of costs to… more
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