- Houston Methodist (TN)
- …+ Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance + Knowledge of an electronic ... upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. **PEOPLE ESSENTIAL FUNCTIONS**… more
- University of Utah (Salt Lake City, UT)
- …1. Oversees, coordinates and conducts audits on documentation, abstraction and coding to ensure compliance with University, state and federal ... Details **Open Date** 09/12/2025 **Requisition Number** PRN43093B **Job Title** Compliance Officer **Working Title** Compliance Officer **Career Progression… more
- St. Luke's University Health Network (Allentown, PA)
- …Provider Services Auditor performs audits as part of the Documentation and Coding Compliance Program for professional services billed by providers employed ... doing so, works with providers and their office staff, as well as the Coding and SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES: + Perform quality audits… more
- HCA Healthcare (Nashville, TN)
- …role. + Preferred 5-7 years of clinical experience, especially related to coding or clinical documentation compliance . + Experience with Digital Transformation ... to join an organization that invests in you as an AVP Clinical Documentation Compliance ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300… more
- Centene Corporation (Jefferson City, MO)
- …perspective on workplace flexibility. **Position Purpose:** Responsible for leading clinical coding compliance nurses and non-clinical team members through ... medical claim review. Ensure compliance with coding practices through a comprehensive review and analysis of medical claims, medical records, claims history,… more
- CommonSpirit Health (Phoenix, AZ)
- …1.20 Reviews the APC grouper edit and assists in clearing the edits related to coding and compliance . 1.21 Assists with the orientation and training of new ... This position will train staff on department policies, procedures, systems and correct coding requirements. The Sr. Coder additionally will audit Coders, fill in for… more
- UPMC (Pittsburgh, PA)
- …secondary diagnoses, and PCS procedures have been coded accurately and completely in compliance with coding guidelines, third party payer and OIG regulations. ... and co-morbidities, and procedures are accurately coded and sequenced according to coding and compliance guidelines. + Formulate physician queries that present… more
- UTMB Health (Galveston, TX)
- …workshops, conferences and/ or in-services. + Keep current with changes in coding guidelines, compliance , reimbursement, and other relevant regulatory updates. + ... (RHIT), or an associate degree in a healthcare-related discipline with Certified Coding Specialist (CCS) certification, and a minimum of 3 years of medical… more
- WMCHealth (Valhalla, NY)
- …Integrity Coordinator reviews and revises accounts to achieve revenue enhancement and billing/ coding compliance . This position updates and reviews accounts to ... billing. The incumbent identifies patterns for educational opportunity, researches coding questions, and tracks audited cases. Responsibilities: + Monitors various… more
- City and County of San Francisco (San Francisco, CA)
- …Conducts peer review of health information and outpatient cases to ensure coding compliance , reimbursement accuracy, and continuous quality improvement. + ... organizational goals. + Organizes and prioritizes departmental work to ensure timely coding and compliance with regulatory requirements in coordination with… more
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