- 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
- 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
- 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
- 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
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- …provided based on documentation in the health record. Ability to communicate with clinical staff for specific coding and documentation issues, such as recording ... medical record content, terminology, anatomy, physiology, disease processes, and official coding guidelines to assign basic and routine outpatient or inpatient… more
- Robert Half Office Team (Atlanta, GA)
- …policies, and official guidelines. * Collaborate with healthcare professionals to clarify clinical documentation and resolve coding discrepancies. * Stay updated ... In this role, you will be responsible for accurately reviewing and coding inpatient medical records using established standards and guidelines. This position is… more
- SSM Health (MO)
- …RESPONSIBILITIES + Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for inpatient hospital ... eligibility)** **Qualifications:** Ideal candidate has experience with inpatient facility coding , ideally with Trauma level 1 or 2, and...accounts. + Coordinates with the clinical documentation and quality teams to ensure validation of… more
- Veterans Affairs, Veterans Health Administration (North Chicago, IL)
- …provided based on documentation in the health record. Ability to communicate with clinical staff for specific coding and documentation issues, such as recording ... Diseases (ICD), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, and other duties as assigned. Responsibilities… more