- Sutter Health (Sacramento, CA)
- …Local regulatory publications and how to access. + Knowledge of Outpatient National Correct Coding Edits. + Demonstrated ability to review a health record and ... **CERTIFICATION & LICENSURE:** CPC-Certified Professional Coder OR COC-Certified Outpatient Coding OR RHIT-Registered Health Information Technician OR RHIA-Registered Health… more
- LogixHealth (Dania, FL)
- …contribute to our fast-paced, collaborative environment and will bring your expertise to review and carry out processes on all out of network claims. The ideal ... communication, and a well-rounded knowledge of insurance payers. Key Responsibilities: + Review , organize, and file IDR emails and complete responses + Monitor and… more
- St. Luke's University Health Network (Allentown, PA)
- …clinical documentation improvement issues and through excellent communication with physicians, coding and CDMP leadership, Quality Dept. coordinators, and other ... and/or formal meetings with auditor or payor representatives in defense of coding appeals, as needed. + Maintain necessary audit /appeal activity documents… more
- Lyric (Newtown Square, PA)
- …pre- and post-payment review programs for healthcare payers. Core domains include coding review , coordination of benefits, record review , and data ... sales enablement, and operational execution + Strong understanding of pre- and post-pay review categories, including coding validation, COB, and data mining +… more
- Hartford HealthCare (Farmington, CT)
- …and comprehensive Health Information Management (HIM) Clinical Documentation Integrity (CDI) quality , audit , education, and denials prevention program consistent ... Manager's absence. Strong working relationships with Revenue Cycle Leadership, physicians, HIM Coding staff, Quality Management, leadership teams and others as… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- …performance monitors for PTF, PCE, VERA and Non-VA Medical Care (purchased care) coding . Audit accurate and complete assignment of ICD-10-CM and ICD-10-PCS ... and coding requirements. Maintains current knowledge to ensure that coding and documentation meets regulatory guidelines and audit standards, and… more
- The County of Los Angeles (Los Angeles, CA)
- …and participates in the work of a group of technical staff engaged in coding and auditing patient medical records in a County medical facility. Essential Job ... for current staff. Prepares and conducts performance reviews for staff with review by the department leadership. Keeps Health Information leadership informed on… more
- Microsoft Corporation (Redmond, WA)
- …needs you! The **Surface** team is seeking qualified candidates for **Senior Quality Software Engineer (Surface)** in the Design Verification team to work on ... to effectively and systematically reveal and screen out defects. The **Senior Quality Software Engineer (Surface)** provides critical analysis of data and drives the… more
- Elevance Health (Seattle, WA)
- …letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by recognizing ... the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How...clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding… more
- Veterans Affairs, Veterans Health Administration (Murfreesboro, TN)
- …Auditors perform audits of encounters to identify areas of non-compliance in coding . They facilitate improved overall quality , completeness, and accuracy of ... review assigned codes. They perform prospective and retrospective coding audits and use results to identify documentation, ...documentation, coding inadequacies, and re-educate clinical and coding staff based on audit results. They… more