- R1 RCM (Boise, ID)
- …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 :** +...are met. **Required Skills:** + Active Registered Nurse license + **Active AHIMA or AAPC Coding… more
- 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 (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
- 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
- Catholic Health (Buffalo, NY)
- …the following credentials is required: RN , LPN, CCS-P, CPC, CRC, or other coding credential EXPERIENCE + Extensive clinical and Coding knowledge and ... Schedule: Days Hours: M-F 8-4 pm Summary: The Manager, Ambulatory Coding Education & Clinical Documentation will be directly responsible for the oversight of the… more
- 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
- 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
- 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
- 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
- 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
- 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
- Trinity Health (Livonia, MI)
- …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... to clinical documentation specialists (CDS) to enhance clinical and coding skill sets and optimal... Registered Health Information Technician (RHIT) + Certified Coding Specialists (CCS) + Certified Clinical Documentation… more
- UPMC (Pittsburgh, PA)
- …Maintain or exceed designated quality and production goals. Maintain employee/insured confidentiality. + Registered Nurse ( RN ). + Bachelor of Science in ... regarding the analysis of care and services related to clinical guidelines, coding requirements, regulatory requirements, and...CCA, CCS, CCS-P, CRC) or AHFI designation required. + Registered Nurse ( RN ) + Act… more
- Hackensack Meridian Health (Neptune, NJ)
- …strong Medical/Surgical experience. **Licenses and Certifications Required:** + Current state Registered Nurse license. + Certified Clinical Documentation ... and serve as a leader of positive change. The ** Clinical Documentation Specialist RN ** facilitates improvement in...process for follow-up reviews and physician communication. + Reviews clinical issues with coding staff to assign… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to a team of clinical ( RN ) reviewers and offers guidance on clinical and coding integrity reviews that are required by the FEP Association to ensure ... FEP is BCBSMA's single largest account Position Summary: The RN Clinical Provider Post Service Review Manager...Provider Post Service Review Manager , led by a Registered Nurse , is responsible for a team… more
- 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
- Elevance Health (Atlanta, GA)
- **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
- Dartmouth Health (Lebanon, NH)
- Overview Clinical Documentation Specialist ( Registered Nurse ) - Full Time Remote 40 hours per week * Clinical Documentation Specialist experience ... required* The RN Clinical Documentation Specialist at Dartmouth Health facilitates improvement in...3 years of applicable experience. Required Licensure/Certifications - Licensed Registered Nurse with NH eligibility * Remote:Fully… more
- Baptist Memorial (Memphis, TN)
- …patient population, and offers education and recommendations in accordance with the Clinical Documentation Program. Provides coding expertise in the clinical ... coding and serves as a resource to the coding staff. Reports to the Corporate Clinical ...+ Employee referral program Job Summary: Position: 13739 - Specialist- Clinical Documentation III RN Facility: BMH -… more
- Trinity Health (Livonia, MI)
- …off + Mileage reimbursement + Comprehensive orientation **Minimum Qualifications** Licensure: + ** Registered Nurse ** with current license from the state of ... Clinical Quality Review Specialist Position Summary - REMOTE** ** RN Must be certified in HCS-D to apply. Oasis... clinical workflows, identifying errors and omissions in clinical assessments, OASIS, coding , plans of care… more
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