- University of Colorado (Aurora, CO)
- …for patients on chronic opioids + Participate as needed in chart review and clinical coding compliance activities + Collaborate as appropriate with medical staff ... the position include, but are not limited to: **Whole Person Pain Service Clinical /Direct Patient Care (0.20-0.25 cFTE)** + Provide patient care to patients with… more
- Veterans Affairs, Veterans Health Administration (Perry Point, MD)
- …codes from the current versions of the International Classification of Diseases (ICD) Clinical Modification (CM) and Procedure Coding System (PCS) for inpatient ... documentation in the health record Ability to communicate with clinical staff for specific coding and documentation...to communicate with clinical staff for specific coding and documentation issues, such as recording inpatient and… more
- Covenant Health Inc. (Knoxville, TN)
- …involved in patient's care. + Educates and assists physicians and clarifies coding versus clinical issues. + Identifies opportunities for intradepartmental and ... Overview Clinical Documentation Integrity Specialist Certified Full Time, 80...and updates to working DRGs and SOI/ROM for final coding and DRG assignment. + Prepares reports for any… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …+ Provides clinical expertise on ARD cases, Quality of Care cases, clinical editing, coding reviews and inquiries. + Makes accurate and consistent ... surgical services at first level, appeal and inquiries. + Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review… more
- Nuvance Health (Danbury, CT)
- …claims denied for medical necessity on bedded patients, identify root causes ( clinical documentation, coding , etc.), and develop corrective action plans to ... for a team of utilization review staff, denials and appeals specialists, non- clinical support staff while partnering with local case management leadership. This… more
- Veterans Affairs, Veterans Health Administration (Huntington, WV)
- …codes from the current versions of the International Classification of Diseases (ICD) Clinical Modification (CM) and Procedure Coding System (PCS) for inpatient ... documentation in the health record Ability to communicate with clinical staff for specific coding and documentation...to communicate with clinical staff for specific coding and documentation issues, such as recording inpatient and… more
- City and County of San Francisco (San Francisco, CA)
- …which may include but not be limited to: knowledge of medical coding , clinical documentation integrity, and reimbursement methodologies; knowledge of procedures ... goals. + Organizes and prioritizes departmental work to ensure timely coding and compliance with regulatory requirements in coordination with Utilization Management,… more
- Bozeman Health (Bozeman, MT)
- …auditing, or a related field. + Intermediate knowledge and experience reviewing clinical documentation, billing, and coding for compliance. + Intermediate ... organizational risks and OIG work plan priorities. + Conducts audits of clinical documentation, billing, coding , and operational processes to evaluate compliance… more
- CommonSpirit Health (Phoenix, AZ)
- … coding (Diagnostic, Observation, Endo, & Surgery, evaluation and management (E/M) level coding for clinical office visits, and a professional fee coding . ... or excluded because the payment may be affected. Statistical clinical data is an important result of coding... clinical data is an important result of coding and maintaining a quality database shall be a… more
- Hartford HealthCare (Hartford, CT)
- …to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The ... state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional, facility (inpatient and outpatient), home… more