- ProKatchers (Bowling Green, NY)
- …Job Description: The primary function of the Clinical Quality Reviewer is to assess and audit medical charts for compliance with a focus on HEDIS, QARR, Medicare ... across a broad array of clinical measures and health improvement activities. Quality audit findings from this position will contribute to the support and training of… more
- Creative Financial Staffing (Broomfield, CO)
- …overdue accounts.- Engage with customers to resolve pending payment issues effectively.AP/AR Specialist role in Process Improvement and Compliance and Controls:- ... AP/AR Specialist :A leading lifestyle brand, renowned for promoting health...Responsibilities:Accounts Payable:- Efficiently process vendor invoices, ensuring accuracy in coding and approvals.- Prepare and execute weekly payment batches.-… more
- Careerbuilder-US (Atlanta, GA)
- …Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist , P from the American Health Information Management (AHIMA) ... for HCC abstraction. . Review medical records for completeness, accuracy and compliance with applicable coding guidelines and regulations. . Maintains department… more
- Northeast Georgia Health System, Inc (GA)
- … in meetings. Minimum Job QualificationsLicensure or other certifications: Certified Coding Specialist (CCS)Educational Requirements: High School Diploma or GED. ... Job Specific and Unique Knowledge, Skills and AbilitiesProficiency of 95% or greater on coding audit reviews, must be maintained for two consecutive quarters for… more
- R1 RCM (Salt Lake City, UT)
- …encompassing 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...client. **Here's what you will experience working as a Coding Audit Specialist :** + Responsible… more
- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview The Clinical Coding and Audit Specialist monitors, responds and performs the clinical coding and ... + Code diagnosis accurately utilizing ICD-10 for purposes of reimbursement and compliance within coding regulations and guidelines + Identify problems and… more
- The Cigna Group (Houston, TX)
- …Leads team of certified coders and administrative support personnel to ensure that coding compliance related risk adjustment coding initiatives are completed ... **Job Summary:** The Medicare Coding Quality Review Audit Manager is...strongly preferred: + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified… more
- The Cigna Group (Philadelphia, PA)
- …with research, analysis and response to inquiries from all internal and external audit departments regarding compliance , coding and inappropriate coding ... the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) Certified Coding … more
- LifePoint Health (Brentwood, TN)
- …working with CDI team, writing queries, and working with multiple EMRs. *Certifications:*Certified Coding Specialist (CCS), Certified Coding Specialist - ... *Review Specialist , Coding Quality and Education *...coding professionals based on the findings of the coding quality reviews. . Prepare audit summaries… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- Medical Billing and Coding Specialist Department: Community Health & Research Center Location: Dearborn, MI START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=2484711&source=2484711-CJB-0) Job Title: Medical Billing and Coding Specialist Job Status:Full-Time **COVID-19 VACCINATIONS: Highly… more
- AdventHealth (Altamonte Springs, FL)
- …and guidance to the Centralized Denial Team. The Denials Management Coding Specialist will adhere to the AdventHealth Compliance Plan and to all rules ... : Remote **The role you'll contribute:** The Denials Management Coding Specialist is high level coding.... Medical Necessity and DRG appeal writing experience . Coding Audit experience . High school diploma… more
- Trinity Health (Mason City, IA)
- …visits, inpatient, ER, outpatient hospital visits, and lab requisitions. The clinic coding specialist will also be responsible for communicating with providers ... the medical record documentation for the services selected for " audit " or "review." + Works with the Coding...+ Current coding certification required + Certified Coding Specialist (CCS), Certified Coding … more
- HCA Healthcare (Brentwood, TN)
- **Description** **Introduction** Do you have the career opportunities as a Denial Coding Review Specialist you want with your current employer? We have an ... colleagues. Do you want to work as a(an) Denial Coding Review Specialist where your passion for...Triage incoming inventory, validating appeal criteria is met in compliance with departmental policies and procedures + Review Medicare… more
- Beth Israel Lahey Health (Burlington, MA)
- …CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of ... and serves on committees as requested. 13. Maintains appropriate audit results or achieves exemplary audit results....(LCD's), or Local Medical Review Policies (LMRP's) to ensure compliance with coding guidelines. 2. Stays current… more
- Tidelands Health (Murrells Inlet, SC)
- …and expands knowledge of coding and sequencing guidelines to ensure coding compliance and accuracy. Responses to audits, provides consultation on projects, ... Technician (RHIT) + Registered Health Information Administrator (RHIA) + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC)… more
- Robert Half Accountemps (Durham, NC)
- Description Robert Half is seeking out candidates in with outstanding customer service and coding skills for a Coding Specialist position with one of its ... Fortune 500 healthcare clients that is remote. The Coding Specialist will: + Analyzes necessary documentation...Medicaid Services CMS. + Uses all resources to ensure compliance and understanding of the CMS Hierarchical Condition Category… more
- ProMedica Health System (Toledo, OH)
- …Responsible for handling high level assignments such as auditing of coding compliance and perform presentations ACCOUNTABILITIES Assist in developing ... POSITION SUMMARY Provide training, audit , and consultation services to providers, office staff,...consultation services to providers, office staff, billing staff, and coding staff. Ensures medical service documentation and coding… more
- ProMedica Health System (Toledo, OH)
- …and regulations. Responsible for handling high level assignments such as auditing of coding , compliance and provides education to physicians and other qualified ... POSITION SUMMARY Provides training, audit , and billing education services to providers. Ensures...health care providers regarding coding and documentation. ACCOUNTABILITIES 1. Develop and coordinate an… more
- Dignity Health (Sacramento, CA)
- …Performs other duties as assigned. *Demonstrates attention to detail to minimize coding errors, performs compliance and quality audits, and ensures accurate ... team. Notify provider in person or via phone. *Prepare audit reports via Cerner Discern; audits in a timely...and accurate. *Manages through monitoring and tracking of corporate compliance initiatives related to coding and revenue… more
- UPMC (Pittsburgh, PA)
- …requirements. Specifically, is responsible for quality review/monitoring of Health Plan Coding Specialist Staff/or external coding personnel. Performs ... the proper ICD-9-CM codes were assigned by the HCC Coding Specialist . Ensure that all codes are...processes and distribution of findings to customers + Manages coding audit staff, including the completion of… more
