- Stanford Health Care (Palo Alto, CA)
- …+ Conducts defensive charge audits, self-pay/patient requests, or other special audit projects, as requested, comparing itemized bills to corresponding medical ... the medical record. + Prepare reports by management regarding audit results, process improvement recommendations and systemic billing errors....Licensure required . or + CCS - Certified Coding Specialist required . or + CPC and/or CCSP -… more
- 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 (Olympia, WA)
- …realize our bold vision for healthcare. **What We're Looking For:** As an Outpatient Auditing Specialist , you will be instrumental in addressing consulting and ... Spinal and Orthopedics. **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts...**What You Need to Succeed:** + 5+ years of outpatient facility coding experience and/or auditing + CCS (preferred),… more
- Datavant (Phoenix, AZ)
- …to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related ... own workspace! **Preferred: In need for a IP auditing specialist . Auditing specialist will be responsible for...spreadsheet. Will also need to code IP records when audit work is complete. Must be able to work… 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
- 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 (Los Angeles, 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
- Penn Medicine (Bala Cynwyd, PA)
- …Full-Time, Per Departmental Needs** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care Service Line, Director of Quality ... coder (CPC or CCS-P) is responsible for detailed analysis of outpatient medical record documentation to ensure appropriate and correct coding. **Accountabilities**… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Supply Chain Applications Specialist position is responsible for tactical support for material management specific software packages and/or ... information technology (IT) and vendors. Systems the Supply Chain Applications Specialist position supports include the enterprise resource planning (ERP) system,… 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
- Rush University Medical Center (Chicago, IL)
- …resolution and reimbursement, and assists the pharmacy with Medicare audit -related billing information and patient balance collections. **Responsibilities** + ... + Assists management with the training of new employees on all the outpatient pharmacy billing systems. + Assists management and new employees on coding issues,… 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
- Excelsior Orthopaedics Group (Amherst, NY)
- …make determination regarding insurance verification escalation issues and/or discrepancies. + Audit , track, and trend insurance data entry error, communicate and ... training, orthopaedic express care, imaging, durable medical equipment, and an outpatient total joint program. Buffalo Surgery Center provides surgical and… more
- Veterans Affairs, Veterans Health Administration (IN)
- …Responsibilities MRTs (Coder) perform the full scope of inpatient and outpatient coding duties. These coding practitioners analyze and abstract patients' health ... CPT, and HCPCS classification systems to both inpatient and outpatient records. Duties include, but are not limited to:...of the electronic health record and encoder software. Ensure audit findings and claim denials related to coding errors… more
- Sharp HealthCare (San Diego, CA)
- …1 **Shift Start Time** **Shift End Time** Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Other; Certified Health Care ... is responsible for the administration of the Sharp HealthCare's (SHC's) compliance audit program. The position provides oversight and maintenance of a high-quality,… more
- Texas Health Resources (Arlington, TX)
- …internal controls and compliance procedures. Coding & Documentation Review - Assist the audit team with inpatient, outpatient , and provider coding assessments to ... as well as THR policies. Key responsibilities include analyzing audit data to identify areas of concern, collaborating with...Administrator Upon Hire Required Or CCS - Certified Coding Specialist Upon Hire Required Or CPC - Certified Professional… more
- Elevance Health (Chicago, IL)
- …Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines ... advanced that disputes or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you will make an impact:** + Analyzes and audits… more
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