- CVS Health (Richmond, VA)
- …Quality Practice Accountable for clinic team performance in achieving and maintaining clinical practice excellence, coding compliance, and adherence to clinic ... a team of NPs, PAs, and/or LVNs/LPNs in achieving clinical quality standards and business and financial objectives. The...clinics in their assigned region as well as the clinical and professional performance of their assigned clinic team.… more
- Trinity Health (Livonia, MI)
- …+ Experience working with current clinical processes, charge master maintenance, clinical coding guidelines, charging processes and audits, and clinical ... including but not limited to, appending modifiers, and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues… more
- Centene Corporation (Baton Rouge, LA)
- …Clinical Program Manager is responsible for identifying, managing and tracking clinical , quality, correct coding , documentation and data submission projects ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Centene Corporation (Newark, DE)
- …Clinical Program Manager is responsible for identifying, managing and tracking clinical , quality, correct coding , documentation and data submission projects ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- LA Care Health Plan (Los Angeles, CA)
- …experience. At least 3 years of experience in utilization management or clinical coding . Investigation and/or auditing experience. Skills Required: Knowledge in ... Nurse Coder RN III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and… more
- Emory Healthcare/Emory University (Decatur, GA)
- …+ The Hospital Inpatient Coder I will be oriented in the application of clinical coding based on the official Coding Convention guidelines and ... to include ambulatory surgery, observation, emergency dept and diagnostic coding ; minimum use of clinical coding booksrequired. + CPC, CPC-H, CCA, RHIA,… more
- Penn Medicine (Philadelphia, PA)
- …to instruct the clinical teams in appropriate documentation as suggested by CMS coding guidelines and to ensure that the clinical chart is the true and ... of severity in care team documentation w consideration of CMS coding guidelines + Provide clinical care teams with ongoing education and training on current… more
- Sharp HealthCare (San Diego, CA)
- … clinical providers. To support and facilitate the implementation of correct coding standards by clinical providers as established by SHC Corporate Compliance ... audits to ensure provider is billing to meet established coding guidelines. + Client supportProvider, Clinical , and...meet established coding guidelines. + Client supportProvider, Clinical , and Coding SupportServes as a resource… more
- Veterans Affairs, Veterans Health Administration (Fort Meade, SD)
- … rejects are corrected for accurate billing and data collection Provide education to clinical and coding staff Assess current audit findings and evaluate impact ... health records in the hospital setting, and/or physician-based settings. These coding practitioners analyze and abstract patients' health records, and assign… more
- Trinity Health (Livonia, MI)
- …revenue cycle activities. Must possess a demonstrated knowledge of charge master maintenance, clinical processes, clinical coding (CPT, ICD-10, revenue codes ... Audits Charge Master for each department including review of appropriate coding , departmental and pricing concerns; and ensuring proper recording of transactions… more