- Community Health Systems (Franklin, TN)
- …to relevant parties, including coders and coding managers, to improve coding practices and compliance . **Essential Functions** + Performs inpatient denial ... non-RAC accounts, reviewing patient records for accuracy in ICD-10-CM/PCS coding , DRG assignments, and supporting clinical documentation. This includes evaluating… more
- St. Luke's University Health Network (Allentown, PA)
- …knowledge of HIM field helpful, with focus on MS-DRG reimbursement, AHA coding guidelines, and compliance or direct Clinical Documentation Improvement ... Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure properly assigned… more
- Rush University Medical Center (Chicago, IL)
- …with a variety of stakeholders to innovate solutions. 8. Partner with Compliance , Quality, Continuous Documentation Improvement (CDI) legal, Coding , Revenue ... track and positively impact KPI's and revenue impact related to coding accuracy and compliance 10. Collaborate with Epic D&IS teams and ancillary software… more
- University of Virginia (Charlottesville, VA)
- …training and education sessions for physicians, allied health professionals, residents, and coding and billing staff to support compliance with third party ... allied health professionals and billing staff to support patient care documentation, coding and billing practices according to federal, state and local regulatory … more
- Guthrie (Sayre, PA)
- …across departments understand and adhere to revenue integrity standards, including coding , billing, documentation, and compliance requirements. The trainer ... Minimum of 3-5 years of experience in healthcare revenue cycle, coding , billing, or compliance - Experience in developing and delivering training programs -… more
- Robert Half Accountemps (Beaverton, OR)
- …workflows. * Collaborate with other departments to ensure proper documentation and coding compliance . * Maintain up-to-date knowledge of billing regulations and ... ideal for a detail-oriented individual with expertise in medical billing and coding . The role involves interacting with claims, denials, and insurance billing… more
- Insight Global (Mount Laurel, NJ)
- …o Background in internal audit within healthcare o Familiarity with billing and coding compliance * Bachelor's Degree in Accounting, Finance, or Healthcare * ... workflow issues, monitor Epic workqueues, review medical records for compliance , and document findings thoroughly. Additional responsibilities include running… more
- Mount Sinai Health System (New York, NY)
- …charged, ultimately maximizing reimbursement for services rendered. + Ensure adherence to coding guidelines and compliance regulations set by entities like the ... payment. This position plays a key role in ensuring the financial health and compliance of the organization and bridges the gap between clinical care and medical… more
- New England Cancer Specialists (Westbrook, ME)
- …appropriate personnel as required. + Review electronic medical record to ensure proper coding and compliance with federal and state regulatory bodies. + ... laboratory and or radiology charges from the provider schedule. + Accurately following coding guidelines and legal requirements to ensure compliance with federal… more
- Cedars-Sinai (CA)
- …including leading all aspects of the review for performance management and accurate coding . + Develops and supervise compliance with corrective action plans as ... **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the...monitoring program within the Managed Care department by ensuring compliance with applicable rules and regulations including but not… more