- Houston Methodist (Katy, TX)
- …PERM, TPE, and commercial payer audits. + Oversee case intake, documentation collection, quality review , and timely submission. + Track and analyze audit ... and appeal outcomes to identify risks and recommend improvements. + **Compliance & Quality Assurance** + Ensure all audit activity complies with CMS, commercial… more
- Datavant (Boston, MA)
- …preferably within an academic medical facility. + Experience with significant level of coding quality review feedback + Experience in computerized encoding ... codes from patient records, ensuring precision and adherence to documentation + Oversee and audit the work of Level 1 & 2 Coders, where applicable + Champion… more
- Mohawk Valley Health System (Utica, NY)
- …and procedure codes, for accurate and timely billing of most appropriate payer + Audit charges and establish proper coding in collaboration with providers + ... the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International...+ Respond to Insurance, compliance and RAC denials + Review and assist in the maintenance of coding… more
- Mohawk Valley Health System (Utica, NY)
- …and procedure codes, for accurate and timely billing of most appropriate payer + Audit charges and establish proper coding in collaboration with providers + ... the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International...+ Respond to Insurance, compliance and RAC denials + Review and assist in the maintenance of coding… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... Director, Epic Applications - Central (H) utilizes solid knowledge of hospital quality measures and clinical experience to build, develop, and test clinical… more
- St. Luke's University Health Network (Bethlehem, PA)
- …meets established productivity targets for coding assignment and record review . + Communicates and collaborates with Quality Managers, Patient Care ... reflect the patient's clinical status and care needs. + Maintains accuracy rate of coding data as measured through quarterly quality reviews. + Consistently… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …modeling and analytical methods. * Experience leading Risk Adjustment improvement strategies, coding programs, data submissions, and audit readiness. * Expertise ... and implementing risk adjustment strategies to facilitate accurate and complete coding , reporting, and regulatory compliance with CMS, HHS, and state guidelines.… more
- Mohawk Valley Health System (Utica, NY)
- …and procedure codes, for accurate and timely billing of most appropriate payer + Audit charges and establish proper coding in collaboration with providers + ... The Medical Records Coder II will improve documentation, data quality and revenue cycle operations. The coder assigns International...+ Respond to Insurance, compliance and RAC denials + Review and assist in the maintenance of coding… more
- AdventHealth (Maitland, FL)
- …downgrade denials management, and clinical validation processes. + Compliance and Quality Alignment: Ensure clinical documentation aligns with coding guidelines, ... regulations, and hospital policies. Support hospital initiatives related to compliance, audit readiness, and quality reporting metrics. Participate in… more
- CHS (Clearwater, FL)
- …Manager of Quality to implement appropriate standards for accuracy and audit procedures intended to validate those standards are met. This includes setting ... random audit percentages for Examiners reflecting experience and historical quality results. It will also include development of coaching and training programs… more
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