- Montrose Memorial Hospital (Montrose, CO)
- …hospital claims. All About You : + High school diploma or equivalent. + Coding credential or certification Clinical Coding Specialist (CCS), Certified ... services, recurring, same day surgery, and ED visits) and assigns appropriate clinical diagnoses and procedure codes in accordance with nationally recognized … more
- Centene Corporation (Jefferson City, MO)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Responsible for leading clinical coding compliance nurses and non- clinical team members ... and implements best practices and operational efficiencies + Researches clinical and coding questions and issues + Triages and resolves escalated health… 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
- Sanford Health (SD)
- …Details** Remote work, flexible work environment. No weekends. OASIS and Coding Certification Required **Job Summary** The Clinical Documentation Specialist ... or coordinates education to all internal customers related to compliance, coding , and clinical documentation issues and acts as a consultant to coders when… more
- CVS Health (Austin, TX)
- …opportunities to improve the quality and efficiency of health care services. ◾Apply clinical coding and reimbursement expertise to ensure alignment and correct ... support and business direction in these areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and… more
- WMCHealth (Valhalla, NY)
- …trend analysis. + Identify pre-bill and post-bill claim edits involving any type of clinical or coding review or required modifier based on services rendered. + ... Coordinator reviews and revises accounts to achieve revenue enhancement and billing/ coding compliance. This position updates and reviews accounts to ensure accurate… more
- Cedars-Sinai (Los Angeles, CA)
- …OR CPC, required Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review, Coding , or Case Management required Working knowledge ... us one of America's Best Hospitals. As our next Clinical Documentation Specialist, you will work under the general...physicians, nursing staff, other patient caregivers, and medical records coding staff to support the level of service rendered… more
- Alameda Health System (Oakland, CA)
- …1. Adheres to the ICD-9-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines ... by the American Medical Association, and any other official coding rules and guidelines established for use with mandated...and ICD-10-CM resources and remains current on changes in coding and billing standards. 3. Strives for the optimal… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …discrepancies, and policy non-compliance. Audits include reviewing medical records, applying clinical and coding knowledge, analyzing provider billing patterns, ... Special Investigation Unit and Payment Integrity Specialists. This role requires medical coding experience and solid written and oral communication. **This is a… more
- Methodist Health System (Dallas, TX)
- …and/or Certifications (Required and Preferred)** + Other appropriate licensure or clinical / coding or healthcare certification may be considered **Related Work ... a database unique to the burn population. This can include identification, collection, coding , scoring, and entering of data into the burn registry database. In… more
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