- Vatica Health (Atlanta, GA)
- … will independently review cases, ensuring accurate ICD-10-CM risk adjusted coding and clinical documentation . They will stay abreast of current changes to the ... + Independently reviews cases, ensuring accurate ICD-10-CM risk-adjusted coding and clinical documentation . + Responsible for performing second reviews of… more
- R1 RCM (Boise, ID)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Auditor , Revenue Integrity** you will help ensure accurate ... what you will experience working as a Revenue Integrity Specialist ** + Research medical records to determine services charged... clinical department teams + Assist coders with clinical documentation issues and liaise with charge… more
- ProMedica Health System (Toledo, OH)
- …and documentation trends and issues of both physicians and clinical staff and collaborates with the office manager/operations director, physicians and staff ... audit, and billing education services to providers. Ensures medical service documentation and coding conforms to guidelines and regulations. Responsible for handling… more
- Hackensack Meridian Health (Hackensack, NJ)
- …The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code assignment for compliance with billing ... with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency...efficiency in filing of inpatient claims. Collaborates with the Clinical Documentation Quality Liaison to assist in… more
- Baylor Scott & White Health (Dallas, TX)
- …elements into the coding and abstracting system. Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for ... **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of...accurate, complete, and compliant documentation . Completes production coding when needed and assigned by… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Quality Auditor ** is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to insure ... Network. **Candidates need to have a current CCS(Certified Coding Specialist ) and experience in an acute care hospital conducing...needed) in 3M as needed for DRG mismatches on Clinical Documentation Improvement (CDI) reviewed cases. +… more
- Hackensack Meridian Health (Edison, NJ)
- …healthcare and serve as a leader of positive change. The Research Compliance Auditor is a key contributor to HMH's Research Compliance Audit and Monitoring Program ... with applicable policies, regulations, and best practices. The Research Compliance Auditor is also responsible for identifying and developing resources to support… more
- Highmark Health (Jefferson City, MO)
- …Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier ... Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding… more
- Northwell Health (Garden City, NY)
- …and visiting nurses those Medical Records that are deficient in diagnosis and clinical documentation . + Reviews Outcome Assessment Information Set (OASIS) and ... visit documentation for errors and inconsistencies related to clinical documentation , including wounds. + Discusses findings related to OASIS reviews and… more
- Insight Global (Fort Myers, FL)
- …Description Insight Global Health is looking for a seasoned Profee/ED Coding Education Specialist to join of its' healthcare clients. The ideal candidate will: -Act ... internal resource for Lee Physician Group for professional service coding and documentation education -Perform medical record audits to ensure compliance with all… more
- Sutter Health (San Francisco, CA)
- …**TYPICAL EXPERIENCE:** 3 years IP Coding experience. **CERTIFICATION & LICENSURE:** Certified Clinical Documentation Specialist (CCDS) or Certified ... Quality Liaison Serves as a Diagnosis Related Group (DRG) expert, supporting clinical documentation initiatives across their assigned market areas. **Job… more
- Trinity Health (Mason City, IA)
- …Coding Auditor /Educator to resolve any on-going issues with provider documentation or reactions to feedback and education. + Monitors effectiveness of ... Type:** Full time **Shift:** Day Shift **Description:** Responsible for reviewing documentation , assigning accurate CPT and diagnosis codes, and entering codes into… more
- Johns Hopkins University (Baltimore, MD)
- …processes and procedures. + CPT and ICD-10 coding required, including coding from clinical documentation or auditing the coding of others. + Extensive knowledge ... guidelines, and other federal and state laws and regulations concerning clinical documentation , coding, and reimbursement required. + Knowledge of related… more
- WMCHealth (Valhalla, NY)
- …(CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist (CCDS) credential(s). Education: Bachelor's ... Compliance Auditing Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla,...activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding. . Documents… more
- Henry Ford Health System (Troy, MI)
- …4. Provides additional education determined by findings. 5. Coordinates with the RI Auditor to review provider/clinician documentation to verify that the medical ... GENERAL SUMMARY: The Revenue Integrity Specialist position identifies revenue opportunities and works collaboratively with Revenue Cycle staff to drive process… more
- Dentsply Sirona (York, PA)
- …-by helping improve oral health worldwide. **Scope** The Technical Support Specialist works directly with our customers, assisting with technical aspects of ... the Dentsply Sirona equipment and products including operation, troubleshooting, repair, and clinical application via telephone, fax, and email. They must be able to… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- Summary This position serves as the Supervisory Supply Management Specialist - Chief Supply Chain Officer within a medical facility, responsible for the development ... operations across the organization; Plans and coordinates fiscal, acquisition, clinical and administrative operations; Establishes, monitors and manages the… more
- HCA Healthcare (Nashville, TN)
- …diversity and inclusion thrive? Submit your application for our Coding Quality Review DRG Specialist opening with Work from Home today and find out what it truly ... location._** We are seeking a Coding Quality Review DRG Specialist for our team to ensure that we continue...apply! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for performing internal quality… more
- Molina Healthcare (TX)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance contributes to one or ... Quality Interventions and Quality Improvement Compliance. + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and… more
- Molina Healthcare (AZ)
- …will require occasional travel to provider offices. **Knowledge/Skills/Abilities** The Senior Specialist , Provider Engagement contributes to one or more of these ... create actionable HEDIS data and analytic insights. * Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and guidance for… more