- St. Luke's University Health Network (Allentown, PA)
- …+ Participate in Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding appeals, as needed. ... Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure properly assigned… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases ... (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to accepted coding practices, guidelines and… more
- SUNY Upstate Medical University (Syracuse, NY)
- Position Overview Responsible for the accurate and compliant coding of inpatient , outpatient, and professional OB/GYN encounters. This position serves as a key ... in a hospital or health system environment. + Strong background in OB/GYN inpatient , outpatient, and surgical coding . + Experience educating providers or leading… more
- University of Southern California (Alhambra, CA)
- …Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes ... meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with Keck Medical Center… more
- Commonwealth Care Alliance (Boston, MA)
- …1 year of employment - + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education ... the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing… more
- NCH (Naples, FL)
- …extensive knowledge of complex disease processes with broad clinical experience in an inpatient setting. * Strong understanding of coding application, rules, and ... potential missed opportunities for documentation clarification, act as a liaison between coding and CDI to resolve DRG or other code discrepancies, collaborate with… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …and targeted monitoring. This role conducts complex, risk-based audits across coding , charge capture, and documentation to assess adherence to government, payer, ... and institutional billing guidelines as well as national coding guidelines. The Senior Reviewer will assist in the...meetings which may include CPT-Epic, New Services, Regional Campuses, Inpatient Billing, ADCC and AAMC as well as other… more