- Health Care Service Corporation (Chicago, IL)
- …care/insurance or provider organization. + Health Informatics Training + Familiarity with clinical coding and statistical and reporting software + Knowledge of ... **Job Summary** This position is responsible for managing and directing clinical quality improvement and population health oversight activities, driving continuous… more
- Cleveland Clinic (Cleveland, OH)
- …according to policies and procedures. + Maintain knowledge and skills via written coding resources, clinical information, videos, etc. + Meet or exceed ... be dedicated to either hospital inpatient or hospital outpatient coding . In this role, you will code and abstract...this role, you will code and abstract highly complex clinical information from high-acuity inpatient charts or outpatient surgery… more
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …provided based on documentation in the health record. Ability to communicate with clinical staff for specific coding and documentation issues, such as recording ... offices, group practices, multi-specialty clinics, and specialty centers Responsibilities Coding practitioners analyze and abstract patients' health records and… 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
- Guthrie (PA)
- …the supervision of clinical coders who perform compliance audits of clinical documentation, coding , and billing. Education, License & Cert: Bachelor's ... years in compliance in a health care organization * Experience in conducting coding and compliance audits and developing corrective action plans helpful * Ability to… more
- UPMC (Pittsburgh, PA)
- …+ Coordinate and present education of providers/practices related to risk adjustment, coding , and clinical documentation improvement. + Assess workflow processes ... for participating providers to address issues, questions and learning needs related to coding and documentation in the medical record and the various risk adjustment… 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
- 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
- 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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …improvement programs. * Educate internal and external stakeholders, including coders and clinical staff, on proper coding practices and compliance requirements. ... critical role in ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external partners. Your work will help… more