- Ventura County (Ventura, CA)
- …limited to, the following: + Ensures accuracy and compliance with billing, coding , and follow-up requirements and identifies overpayments and lack of documentation ... International Classification for Diseases (ICD)-10 codes, and Health Care Procedure Coding Systems (HCPCS) codes. + Knowledge of Treatment Authorization Request… more
- Ankura (New York, NY)
- …investigation projects for clients. + Oversee and conduct data gathering activities, document review , and quality control of data assessment. + Work with Senior ... + Prepare client communications, both written and oral, for senior level review . + Perform client facing tasks including operational, compliance or regulatory… more
- CGI Technologies and Solutions, Inc. (Charlotte, NC)
- …on various payment integrity domains, including pre-payment review , post-payment audit , FWA detection and prevention, coding accuracy, clinical integrity, ... on various payment integrity domains, including pre-payment review , post-payment audit , FWA detection and prevention, coding accuracy, clinical integrity,… more
- Munson Healthcare (Traverse City, MI)
- …be conducted by the Physician to ensure compliance with the foregoing and with quality assurance and medical audit programs of the Health System. + Clinical ... Physician agrees to participate in analyzing cost effectiveness and quality outcomes. This may include literature review ,...AWC and HBOT services. + Complete all documentation and coding on the date of service using EHR, complying… 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 ... for improvement, and cost and savings involved. + Participates in continuing quality improvement activities. + Adheres to University and unit-level policies and… more
- UPMC (Williamsport, PA)
- …to join a dedicated oncology team and contribute to accurate, compliant coding that supports high- quality patient care. Responsibilities: + Query physicians ... have at least two years of experience in physician coding using CPT and ICD-9. This is a great...the American Hospital Association and American Medical Association. + Review records and provide codes to support medical necessity… more
- HonorHealth (AZ)
- …3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional ... patient class determination, ensuring proper utilization of resources, and delivery of quality patient care. The PA conducts clinical reviews on cases referred by… more
- Bassett Healthcare (Sherburne, NY)
- …we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do The Ambulatory Office Assistant II serves ... encounters including face-to-face and telephone interactions. Assures that a high quality patient experience takes place by providing administrative and/or clinical… more
- HCR Home Care (Rochester, NY)
- …(discipline and agency). + Review and process discipline - only discharges. + Review evaluation documentation task (push SOC to coding and Recert to held ... procedures and follow the Employee Handbook Guidelines . + Quality : + Audit clinical records to identify...+ Clinical assistance : + Triage incoming calls. + Audit / Review DRRs . + Other duties as… more
- Cedars-Sinai (Torrance, CA)
- …pseudo-code creation. + Identifies possible coding deficiencies through charge/medical record review and coordinates coding review to ensure accurate ... Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We also were...charge capture, enhancing third-party reimbursement and minimizing audit liability. + Review accounts on OCS… more