- Hartford HealthCare (Farmington, CT)
- …Groups (MS-DRG, APR-DRGs, etc.) and ICD-10 code assignment for compliance, reimbursement, and quality outcomes. . Works with Coding and Quality Management ... for extensive record review, and interaction with physicians, HIM coding professionals, nursing staff and other patient care givers...the accurate representation of patient severity of illness and quality of care. The CDS is also responsible for… more
- Avera (Sioux Falls, SD)
- …provide input for medical necessity and other related appeals using appropriate coding guideline references. + Lead communication between health information ... the accommodations do not cause undue hardship to the employer. **Required Education , License/Certification, or Work Experience:** + Certified Coding Specialist… more
- Northwell Health (Lake Success, NY)
- …reviews to ensure records are complete, accurate, and support proper billing and coding - Audit anesthesia records focusing on quality , completeness, and ... coding - Perform periodic probe audits to detect coding discrepancies that may lead to over-...(eg, location, specialty, service line, years of relevant experience, education , credentials, negotiated contracts, The salary range for this… more
- WMCHealth (Valhalla, NY)
- …across employed and affiliated practices. + Ensure all physicians receive timely, targeted coding education based on audit findings, regulatory updates, and risk ... by regulatory trends, internal risk assessments, claims data, and enforcement activity. Physician Coding Audits & Education + Direct physician coding audit… more
- LA Care Health Plan (Los Angeles, CA)
- …the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents ... documentation, and designing remediation strategies that reduce risk and recommends quality assurance protocols to ensure accuracy across the claims ecosystem. The… more
- LA Care Health Plan (Los Angeles, CA)
- …the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents ... regulatory modifications, and cross-functional dependencies while continuously improving process quality and reducing rework. The Senior Manager manages all aspects… more
- State of Minnesota (Vadnais Heights, MN)
- …revenue collections are consistent with all rules and regulations. + Reviewing coding and billing strategies while implementing quality assurance processes. + ... essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of...other Third-Party Payer rules and regulations related to billing, coding , and documentation standards as well as managing the… more
- Corewell Health (Grand Rapids, MI)
- …on feasibility and develops processes for all users. Partners with coding , billing, nursing, physician, and compliance staff to provide, coordinate and ... / or disseminate education . Participates in core work groups to recommend and...edits, assembles, and distributes course materials and conducts educator lead training sessions for applications based on multiple computing… more
- Northern Light Health (Unity, ME)
- …to provide a model of care that ensures the delivery of quality , efficient, and cost-effective healthcare services. Integrates evidence based clinical guidelines, ... preventative guidelines, protocols, and other metrics that are patient-centric, promoting quality and efficiency in the delivery of healthcare. Behaves in a… more
- Walmart (Bentonville, AR)
- …scalable software solutions using Agile methodologies. + Develop, configure, and maintain high- quality code adhering to coding standards and security policies. + ... FOR THIS POSITION** **Role summary:** As a Software Engineer III, you will lead the design, development, and maintenance of scalable software solutions that meet… more