- UHS (Binghamton, NY)
- …Research, analyze, and respond to inquiries regarding coding and documentation compliance in accordance with all coding guidelines and Medicare/Medicaid regulations. ... - With access to 100,000+ online courses, leadership programs, tuition reimbursement, clinical ladders, and internal mobility, we help you grow wherever your passion… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- …Medicine/ Revenue Cycle FTE1.0 FLSAExempt Scope of Job To promote appropriate clinical documentation through collaboration with the School of Medicine clinical ... process is followed. Description of Duties * Obtains and promotes appropriate clinical documentation through interaction with clinical staff and physicians to… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Research Associate/ Clinical Coordinator -Cancer Care - Albany, NY - FT** We are currently ... with a highly qualified candidate who possesses robust experience as a clinical trial study coordinator. Experience in oncology is preferred. The ideal candidate… more
- The Cigna Group (Sacramento, CA)
- …acuity cases, and/or account sensitive cases involving largest reserves. Utilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate ... an active caseload of inpatient case management cases for Cigna. + Uses clinical knowledge to assess inpatient admission level of care, treatment plan and goals,… more
- R1 RCM (Chicago, IL)
- …of a Clinical Validation Review by an insurer or third-party auditor . + Draft appeal letters that are well-written, logically structured, and persuasive, ... sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse** , you will help review and interpret… more
- Corewell Health (Grand Rapids, MI)
- …experience Progressively responsible related work experience + Health care operations, auditing and or compliance + Compliance auditor , nurse auditor , or ... implementing and maintaining program standards and work plans for assigned financial compliance program. May assist leadership or lead in development of new program… more
- Johns Hopkins University (Baltimore, MD)
- …for all billing compliance and training programs for Johns Hopkins Medicine's clinical care providers. The Senior Director is a member of the senior management ... management, and interprofessional consultation). + Plans and/or approves all billing compliance training programs for SOM clinical faculty, JHHS clinicians,… more
- Sodexo (Lincoln, NE)
- …for the implementation and maintenance of a coordinated and integrated Data Compliance , Quality, and Risk Program for Clinical Engineering throughout Sodexo ... HTM Operations nationally; will serve as SME, educator, advisor, auditor and quality and risk manager. This position serves...changes. Serve as a resource for all corporate / clinical / regional and corporate entities regarding compliance… more
- AdventHealth (Altamonte Springs, FL)
- …FL **The role you will contribute:** Under general supervision of the Clinical Documentation Integrity (CDI) Manager, and in some situations the supervision of ... the Director of Clinical Documentation Integrity, and in collaboration with physicians, nursing...physicians, nursing and HIM coders. The CDI Quality & Compliance Team Leader strategically facilitates and obtains appropriate and… more
- WMCHealth (Valhalla, NY)
- …(CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist (CCDS) ... Compliance Auditing Specialist- Remote/Hybrid available Company: NorthEast Provider...activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains… more