• Clinical Coding Appeals Nurse

    R1 RCM (Salt Lake City, UT)
    …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help ... position. **Here's what you will experience working as a Clinical Coding Appeals Nurse :** +...external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + An active CCS,… more
    R1 RCM (12/13/24)
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  • Revenue Integrity Clinical Coding

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as a Revenue Integrity Clinical Coding Analyst RN ? At Parallon, you come first. HCA Healthcare has ... difference. We are looking for a dedicated Revenue Integrity Clinical Coding Analyst RN like...and patient audits. **Qualifications that you will need:** + Registered Nurse Degree required. + Minimum 1… more
    HCA Healthcare (10/20/24)
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  • Clinical Documentation Specialist-…

    Health First (Melbourne, FL)
    …Ability to maintain composure and professional demeanor. *PREFERRED QUALIFICATIONS* * Certification: RN or CCS or CIC with Clinical Documentation Certification ... Education: High School Diploma. * Licensure: N/A * Certification: RN or CCS or CIC or comparable. * Work...CCDS). * Work Experience: 2 years Nursing or Inpatient Coding with 2 years Clinical Documentation experience.… more
    Health First (01/02/25)
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  • SR RI Clinical CV IR Charge Coding

    HCA Healthcare (Richmond, VA)
    …healthcare experience (hospital operations, clinical operations, etc.) + Active Registered Nurse License or other advanced nursing license required. Compact ... join an organization that invests in you as a Senior Revenue Integrity Clinical Charge Coding Specialist RN for Cath Lab and Interventional Radiology? At… more
    HCA Healthcare (11/07/24)
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  • Healthcare Medical Claims Coding Sr.…

    Commonwealth Care Alliance (Boston, MA)
    … Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration ... Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding more
    Commonwealth Care Alliance (11/26/24)
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  • Hospital Coding Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …+ Bachelors degree required. + Clinical background preferred (ie, LPN, RN , etc.). + Current Certified Coding Specialist (CCS) certification required. ... on risk areas. Serves as a resource for providers and caregivers on hospital/ clinical billing and coding . **Primary duties and responsibilities:** + Prepares and… more
    Emory Healthcare/Emory University (11/06/24)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …action plans based on analysis. + Works collaboratively with Revenue Cycle Staff, Coding team, Clinical Informatics, and other MMS staff associated with HCC ... review, education and necessary follow-up to help ensure that clinical documentation and coding services meet government...or must be obtained within the first year. Prefer RN , LPN, or CMA state of TN/GA but not… more
    Catholic Health Initiatives (12/23/24)
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  • Quality Officer I (Inpatient Coding Review)…

    RWJBarnabas Health (Oceanport, NJ)
    …a Bachelor s degree. + Extensive knowledge of ICD-10-CM/PCS and CPT coding , medical terminology, human anatomy and physiology, clinical indicators associated ... of coding principles, code assignment and sequencing, DRG assignment and clinical disease processes. Coding advice must be clearly and concisely written… more
    RWJBarnabas Health (11/18/24)
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  • Revenue Integrity Specialist / Revenue Cycle Cmdr…

    Hartford HealthCare (Farmington, CT)
    …Responsibilities:_* 1. Analyze and resolve specific billing edits and denials that require coding and billing expertise with some clinical knowledge that are ... modifiers, diagnosis codes as appropriate including charge corrections 2. Identify charging, coding , or clinical documentation issues and work with appropriate… more
    Hartford HealthCare (10/11/24)
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  • RN Clinical Documentation…

    SSM Health (MO)
    …Division of Professional Registration + Or + Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by Compact State + Or + Registered ... complete and accurate. **Principal Duties and Responsibilities** Facilitates appropriate clinical documentation to support appropriate diagnosis coding ...+ Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by… more
    SSM Health (12/05/24)
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  • RN - Registered Nurse

    Geisinger (Danville, PA)
    …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... clarify existing documentation. Acts as a liaison between the clinical and coding functions. Provides education to...Holidays: None On-Call: None Education and Experience: 3 years RN work experience is required; BSN is strongly preferred… more
    Geisinger (12/12/24)
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  • Clinical Documentation Specialist

    University of Texas Rio Grande Valley (Harlingen, TX)
    …Information Management Association ( AHIMA ). Required Experience Five (5) years of clinical coding and/or nursing experience in an ambulatory setting or in ... coding conventions. * Works closely with Revenue Cycle coding staff on Clinical Documentation Improvement (...the American Health Information Management Association ( AHIMA ), Registered Health Information Technician ( RHIT ) from the… more
    University of Texas Rio Grande Valley (01/04/25)
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  • RN - Clinical Documentation…

    SSM Health (MO)
    …Division of Professional Registration + Or + Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by Compact State + Or + Registered ... is required. **Job Summary:** Performs concurrent analytical reviews of clinical and coding data to improving physician...+ Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by… more
    SSM Health (01/03/25)
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  • Clinical Documentation Specialist,…

    Hackensack Meridian Health (Neptune, NJ)
    …serve as a leader of positive change. The ** Clinical Documentation Specialist Registered Nurse ( RN )** facilitates improvement in the overall quality, ... the life of a ** Clinical Documentation Specialist Registered Nurse ( RN )** at **Hackensack...process for follow-up reviews and physician communication. + Reviews clinical issues with coding staff to assign… more
    Hackensack Meridian Health (12/31/24)
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  • RN Clinical Documentation Specialist…

    Guthrie (Binghamton, NY)
    …in an acute care setting along with current CCDS certification may substitute for BSN RN ‐PA Registered Nurse ‐ PA: Current Pennsylvania State registered ... interaction with physicians, nursing staff, other patient caregivers, medical records coding staff to ensure that clinical documentation accurately reflects… more
    Guthrie (11/02/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    **Diagnosis Related Group Clinical Validation Auditor-** ** Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
    Elevance Health (01/01/25)
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  • RN - Registered Nurse

    Sanford Health (Thief River Falls, MN)
    …outcomes, provides or coordinates education to all internal customers related to compliance, coding , and clinical documentation issues and acts as a consultant ... nursing experience required. Experience in case management, utilization management, and/or coding preferred. Currently holds an unencumbered RN license with the… more
    Sanford Health (01/02/25)
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  • Clinical Documentation Improvement…

    Trinity Health (Langhorne, PA)
    …/ No weekends! The Clinical Documentation Improvement Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of ... and working DRG (MS or APR). + Collaborates with coding staff to ensure documentation of discharge diagnoses and...clinical documentation specialist. + Preferred Certification as a RN , RHIA, RHIT, CCS, CCDS or CDIP + Previous… more
    Trinity Health (01/08/25)
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  • Clinical Documentation Specialist

    Trinity Health (Maywood, IL)
    …in giving back to those we serve. **We seek colleagues with:** Requirements Current Registered Nurse License in the State of practice, Certified Physician ... a lasting impact. The Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical more
    Trinity Health (12/05/24)
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  • Clinical Documentation Specialist

    Atlantic Health System (Morristown, NJ)
    …Supports and implements quality measures as identified by AHS system Education: Licensed Registered Nurse credentialed from the NJ Board of Nursing Licenses: NJ ... all the necessary documentation to support the most accurate coding . Educates internal staff on clinical documentation... RN License required Required Experience: Three years of relevant… more
    Atlantic Health System (12/16/24)
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