- Northeast Georgia Health System, Inc (GA)
- …Job Specific and Unique Knowledge, Skills and AbilitiesProficiency of 95% or greater on coding audit reviews, must be maintained for two consecutive quarters for ... with a minimum score of 95% demonstrating proficiency in inpatient and/or outpatient coding of all service...revenue cycle to resolve issues related to billing.Ability to audit coding quality and provide feedback on… more
- Cambia Health Solutions, Inc (Portland, OR)
- …Join our Cause to create a person-focused and economically sustainable health care system . Who We Are Looking For: Every day, Cambia's dedicated Clinical Audit ... and lives better. As a member of the Clinical Audit team, the Payment Integrity RN (I) conducts post...appropriate clinical review, reimbursement of claims and accuracy of coding . Applies resources, including but not limited to, internal… more
- RWJBarnabas Health (West Orange, NJ)
- System Inpatient Coding Audit and Query...a broad-based and thorough understanding of ICD-10 CM, PCS coding and CPT/HCPCS systems . + Must have in ... Hills Road, West Orange, NJ 07052 Job Overview: The System Inpatient Audit and Query...auditing hospital encounters to ensure ongoing quality regarding accurate inpatient coding , abstracting, data entry, discharge disposition,… more
- Nuvance Health (Danbury, CT)
- … System (HCPCS) and ICD-10-Procedural Classification System (PCS) coding for the Network's Hospital Inpatient and Outpatient coders and services. ... *Summary:* Reporting to the Special Associate Compliance Officer (SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor providesHospital… more
- R1 RCM (Chicago, IL)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Coding Audit Specialist, you will be responsible for performing ... retrospective and prospective compliance reviews of coding related to inpatient and outpatient professional...client. **Here's what you will experience working as a Coding Audit Specialist:** + Responsible for auditing… more
- Atlantic Health System (Morristown, NJ)
- Responsible for coding quality audits of all records (outpatient, inpatient , procedures, testing) to assure appropriateness and accurate code assignments in ... 1. Coordinates, schedules, performs the professional services documentation and coding audits of outpatient, inpatient , procedures and...coding trends found during chart reviews, third party audit findings, and annual coding updates. 6.… more
- Covenant Health Inc. (Knoxville, TN)
- …Forbes as a Best Employer. Position Summary: Performs or reviews complex level internal coding audit work for i npatient accounts. Work involves leading or ... If applicable, provides corporate oversight of any current departmental coding audit programs. + Works with coders...(3) to five (5) years experience in acute care coding , both inpatient and out-patient and/or physician… more
- Elevance Health (Indianapolis, IN)
- …of one of our Elevance Health PulsePoint locations. The **DIAGNOSTIC RELATED GROUP CODING AUDITOR** is responsible for auditing inpatient medical records and ... clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding...guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools and auditing workflow systems and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …3M coding computer system . + Assists and provides feedback to the Inpatient HIM Supervisor and Inpatient Coding Manager with education sessions for ... statistics in compliance with federal regulations according to ICD-10 coding classification systems . + Addressing all edits,...Attends monthly coding in-services provided by the Inpatient Coding Educator. + Assists the … more
- UNC Health Care (Chapel Hill, NC)
- …management and physicians. Ability to teach and mentor coders and physicians on complex coding systems . Ability to have an excellent balance of being highly ... surgery, and ancillary cases). 3. Faxes, tracks, and monitors coding denials and appeals on both inpatient ...feedback. 8. Provides input on performance of coders and audit information to supervisor for performance evaluations. 9. Provides… more
- Tidelands Health (Murrells Inlet, SC)
- …environments if appropriate. **QUALIFICATIONS** **Experience** : Minimum of 2 years of coding /abstracting experience in hospital inpatient coding or ... of moderate to high complexity using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and… more
- R1 RCM (Boise, ID)
- …decision-making abilities. The coding Liaison should have Advanced knowledge of ICD-10/CPT coding systems and guidelines. Please be advised, this is a full ... with the CDI team is preferred but not required. Inpatient or Outpatient audit experience is preferred...Quality as needed **Required Qualifications:** + 5 years of inpatient coding experience + CCS Certification For… more
- Veterans Affairs, Veterans Health Administration (IN)
- …code selection. Selecting and assigning codes from the current version of several coding systems to include current versions of the International Classification ... (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adhering to accepted ...of the following KSAs: i. Advanced knowledge of current coding classification systems such as ICD, CPT,… more
- Beth Israel Lahey Health (Boston, MA)
- …the 3M HDM Audit Chapter. Serves as a central resource for inpatient or ambulatory coding questions. Prepares coder question and answer documents to ... HIM Clinical Documentation Improvement Specialist (CDIS) and clinical staff to evaluate inpatient coding and CDIS assignment; offers recommendations to redesign… more
- LifePoint Health (Brentwood, TN)
- …appropriate training for the coding professional based on the findings of the coding quality reviews. . Prepare audit summaries for reporting to the ... with Diagnosis Related Groups (DRGs), Ambulatory Payment Categories APC's), the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment … more
- University of Washington (Seattle, WA)
- …more content areas ERHI has coding oversight for + Serve as an expert in Inpatient coding , respond to general coding questions (ICD, DRG, CPT and ... current documentation and coding guidelines + Perform coding audits, analyze results and create audit ...Impact Goes Further** UW Medicine is Washington's only health system that includes a top-rated medical school and an… more
- University of Washington (Seattle, WA)
- …and content expert for current documentation and coding guidelines + Perform coding audits, analyze results and create audit reports. Provide education and ... experience, including coding auditing, analysis, education and training + Coding and documentation expertise in either inpatient or outpatient facility… more
- Zelis (TX)
- …and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and ... privacy Skills, Knowledge, and Experience: + Registered Nurse licensure preferred + Inpatient Coding Certification required (ie, CCS, CIC, RHIA, RHIT) +… more
- Deloitte (Austin, TX)
- …or workload credit. + Perform necessary tasks within Cerner Millennium and other coding systems (eg, 3M360) to complete encounter + Adhere to accepted ... staff of production medical coders for professional and facility coding (outpatient, inpatient , or both), ensuring quality...and leverage work lists using Cerner EHR. + Resolve coding discrepancies, mediate disputes, set audit assignments,… more
- Lancaster General Health (Lancaster, PA)
- …Practices. To ensure accurate and appropriate gathering of information into the coding classification systems to meet departmental, hospital and outside agency ... and coding for non-governmental carriers using an established point system ensuring that documentation supports billed services. + Ability to educate providers… more
