- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding / Audit Reviewer is a physician facing position and must have ... of diagnosis coding on risk adjustment payment models. Understand the audit process for risk adjustment models. Ability to identify and communicate documentation… more
- St. Luke's University Health Network (Allentown, PA)
- …be responsible for performing internal, concurrent, prospective and retrospective coding audit activities. The incumbent will also review and validate coded ... medical records of the Professional Coding (PC) staff to determine data quality ...one-on-one education sessions for PCs needing focused attention on audit findings. In addition, works in conjunction with network… more
- Carle Health (Champaign, IL)
- …Carle physician groups. Oversee all aspects of inpatient, outpatient and professional coding operations, clinical documentation, coding audit and education, ... state and payer regulations and driving initiatives to improved coding quality and efficiency. The Director will...organizational skills + Knowledge of all major aspects of coding and audit and documentation integrity functions… more
- Virtua Health (Mount Laurel, NJ)
- …depending on meetings with clinicians. Job Summary: Responsible for professional fee (pro-fee) coding quality and audits, education and training, etc. for CPT, ... coding team (modules, scenarios, tip sheets, etc.). External Coding Audit Response: Conducts Trains new coders... samples, communicating results to clinicians and providing annual coding education. Performing chart audits to review … more
- CVS Health (IN)
- …all with heart, each and every day. **Position Summary** Responsible for performing quality inter-rater review audits of medical records coded by internal team ... mentor to provide education to internal staff based on audit findings; provides general education on ICD codes as...years recent and related experience in medical record documentation review , diagnosis coding , and/or auditing. + Experience… more
- Highmark Health (Pittsburgh, PA)
- …to CMS for reimbursement.Oversee operations to track and validate multi-pass quality review of validation leading up to external audit of Highmark Inc. ... strategy to achieve continuous improvements as it relates to Quality and Coding for the Highmark Health...coding results: Lead team of coder/ clinicians to review member medical records to validate 100% of new… more
- Hartford HealthCare (Farmington, CT)
- …official coding guidelines This position reports to Manager Hospital HIM Coding Quality and Education *Education:* Associates Degree or equivalent experience ... state and federal laws, regulations and policy. * Presents audit reports, results and action plans to coding...Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Coding Quality & Edu Spec 1 /… more
- Independent Health (Buffalo, NY)
- …a clinical setting or utilizing a coding system (ICD-10 or PCS) required. Coding audit experience in an inpatient setting preferred. + Knowledge of ICD-10-CM ... knowledge and auditing skills evidenced by their ability to train others, to identify coding patterns and share knowledge and audit tips across the team. The… more
- Premier Health (Dayton, OH)
- …duties; greeting patients, scanning, faxing, copying, sorting mail, etc. Support co-workers in quality audit , coding and billing and comply with ICD10/CPT ... Work cooperatively with other personnel to assist with billing, coding , compliance, and quality requirements for the... coding & chart review to assist with accurate documentation and timely release… more
- Atlantic Health System (Morristown, NJ)
- Responsible for coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in ... coding trends found during chart reviews, third party audit findings, and annual coding updates. +...rejections from recurring. + Meets with the providers to review the audit findings and to recommend… more