- CVS Health (Springfield, IL)
- …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
- Penn Medicine (Philadelphia, PA)
- …issues from various internal and external departments, the coding staff, the coding quality review staff, Office of Billing Compliance, providers, etc. ... 4th Floor Bala Cynwyd Hours: M-F, 8a-430p or similar Review coded medical records for coding and...limited to, inquiries for coding information: general coding and coding quality questions… more
- Cleveland Clinic (Cleveland, OH)
- …one of the most respected healthcare organizations in the world. As a Coding Quality Education Coordinator, you will provide one-on-one and classroom-based ... clinical documentation and coding education to medical staff, Advanced Practice Providers and...and operational systems and processes relative to reimbursement and quality statistics through chart review and other… more
- Trinity Health (Newtown Square, PA)
- …risk score coding . + Conducts pre and post encounter medical record review coding and documentation for accuracy and completeness. + Identifies opportunities ... efforts toward the integrity of clinical documentation through the roles of reviewer , educator, and consultant. Facilitates the overall quality , completeness,… more
- Providence (Lubbock, TX)
- …the best people, we must empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting ... + **This posting is for multiple openings of a Coding Quality Auditor, HEDIS** + **This position...in a medical record. + 2 years - HEDIS, Quality management/ quality improvement/utilization review auditing… more
- LA Care Health Plan (Los Angeles, CA)
- …and CDPS+Rx). Audit knowledge of clinical documentation improvement (CDI) and coding quality , accuracy and completeness for the following: medical records & ... materials. Duties Perform routine audits of the Risk Adjustment Coding Specialists II for coding quality...diagnosis codes for improvements in HCC rates. Duties Continued Review audit reports from regulators for developing… 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
- Albany Medical Center (Albany, NY)
- …with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied ... in professional fee coding - required Essential Duties and Responsibilities + Review , analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by… more
- Stanford Health Care (Palo Alto, CA)
- …and edit appeals for clarity and accuracy prior to submission to ensure high- quality presentation. + Audit Response: Ensuring the medical record documentation ... America) **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue… more
- CVS Health (Springfield, IL)
- …+ Minimum of 1 year recent and related experience in medical record documentation review , diagnosis coding , and/or auditing. + AA/AS or equivalent experience. + ... all with heart, each and every day. **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and… more