- Hunterdon Health Care System (Flemington, NJ)
- …and completeness of clinical documentation. 3. Communicates and educates medical, clinical and coding staff of trends and opportunities for improvement. 4. ... under the guidance of the Physician Advisor, to provide clinical information to payors as requested and ensures correct...reimbursement. 2. Works with medical and clinical staff to improve overall quality… more
- Penn Medicine (Philadelphia, PA)
- …CDI Physician Advisor will act as a resource and liaison between our clinical staff, CDI Team, coding professionals, and hospital leadership. Serving our ... with medical staff leadership, medical staff, and all areas of clinical documentation improvement, CEQI, denials management, coding , utilization management… more
- Zelis (St. Petersburg, FL)
- …leaders and in team meetings + Translate client reimbursement policies into Zelis coding and clinical concepts + Understand payor policies and their application ... Health Plans and TPA's to ensure adherence to proper coding and billing guidelines. They will work closely with...of hospital itemized bills for identification of billing and coding errors for all payor's claims + Contribute process… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …analyze, extract and interpret patient financial data as it relates to clinical documentation and diagnosis/procedural coding of services provided. Expertise in ... College's monitoring program for accounting and financial control systems related to clinical revenue data. Develop, plan and evaluate monitoring program for the… more
- HCA Healthcare (Kaysville, UT)
- …state reviews + You are responsible for reviewing official data quality standards, coding guidelines, company policies and procedures, and clinical resources to ... by reviewing medical record documentation. You will apply appropriate coding based upon the diagnosis and procedure guidelines for...network. We do so with the backing of the clinical , operational, and financial expertise of a Fortune 100… more
- Catholic Health Initiatives (Little Rock, AR)
- …and up to 25-50% professional travel may be involved. + Supports quality, clinical practice, safety, risk coding , compliance, patient experience and Health ... critical organizational roles. + Serves as market liaison, interfacing with internal clinical leaders and external payer partners for all things quality and risk… more
- The Cigna Group (Bloomfield, CT)
- …Science, or related field. + Experience in healthcare data and familiarity with clinical coding standards and interoperability formats. + Proficiency with BI ... tools and data visualization (eg, Power BI, Matplotlib). + Background in enterprise risk management within health insurance. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …, with an emphasis on Evaluation and Management (E/M) services, procedural coding , and clinical documentation improvement. + Participate in provider orientation ... and Privacy Office leadership as well as other key clinical and operational leaders on compliance matters. + Ensure...to ensure coding and documentation expectations are clearly communicated. + Collaborates… more
- Dartmouth Health (Lebanon, NH)
- …and compliance objectives. Performs complex professional and facility (DRG or APC) coding and billing audits across all clinical specialties. Responsibilities * ... issues and/or professional or facility chart abstraction, CPT and ICD-9 coding and clinical documentation education required. * An understanding of health care… more
- HCA Healthcare (Jacksonville, FL)
- …**What you will do in this role:** + Conduct reviews of charging, coding , and clinical documentation, collaborating with Corporate Revenue Integrity Leadership ... + Perform detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient Accounting. Based on audit… more