- Henry Ford Health System (Troy, MI)
- …involving all appropriate personnel. Prepares reports and recommendations for management and coordinates implementation. The Revenue Integrity Specialist ... SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Specialist identifies revenue opportunities and works collaboratively with Revenue Cycle… more
- UnityPoint Health (Cedar Rapids, IA)
- …+ Shift: 40 Hours Per Week + Job ID: 168048 Overview The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key ... clinical outcomes and patient and provider satisfaction. The UM Specialist provides the Utilization Management function for...to quality care, effective utilization of resources and pursues denials of payment and referrals in a timely, legible… more
- BriteLife Recovery (Englewood, NJ)
- …+ Maintain compliance with payer policies, HIPAA regulations, and internal utilization management protocols. + Monitor trends in denials , approvals, and ... What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team...of 2-3 years of experience in utilization review, case management , or insurance coordination in a behavioral health or… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- … Specialist - P ( CCS - P) from the American Health Information Management Association ( AHIMA ), Registered Health Information Technician ( RHIT ) from ... Position Information Posting NumberSRGV8237 Working TitleCLINICAL DOCUMENTATION SPECIALIST Number of Vacancies1 LocationHarlingen, Texas DepartmentSchool of...the American Health Information Management Association ( AHIMA ), Registered Health… more
- Hartford HealthCare (Farmington, CT)
- …of education and experience in accordance with job responsibilities *Experience* . Minimum: . Registered Nurse ( RN ) with 5 or more years CDS experience ... provide provider, CDI and coding education for DRG downgrade denials prevention and management . . Validates CDI.... 6 years' experience as a CDS . Previous management experience preferred *Licensure, Certification, Registration* * RN… more
- Children's Mercy Kansas City (Kansas City, MO)
- …, Utilization Review, and Performance Improvement Leadership + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required ... Nurse Case Managers, Social Workers, and Utilization Review specialist team members and support staff + Analyzes, evaluates,...upon hire + One of the following: Licensed RN - Kansas, Registered Nurse … more
- Trinity Health (Livonia, MI)
- …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... the CDI quality plan, such as by Clinical Documentation Specialist (CDS), service line, focus area and as otherwise...management as it relates to CDI. Assists with denials management , complex case resolution and may… more
- Trinity Health (Livonia, MI)
- …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... Specialist and Clinical Documentation Integrity Coordinator positions, facilitating management of personal time off and schedule change requests, assuring… more
- Rochester Regional Health (Rochester, NY)
- …experience preferred. + Experience with EPIC preferred. EDUCATION: BS LICENSES / CERTIFICATIONS: RN - Registered Nurse - New York State Education ... and performance standards. + Provides direct managerial oversight to CDI Team in management of CDI processes CDI projects, barriers and education work processes, to… more
- AdventHealth (Tampa, FL)
- …you'll need to succeed:** Associate's of Nursing Required. 1 years Related Experience Required Registered Nurse ( RN ) current FL Required CCDS - Certified ... **ue you'll bring to the team:** Ensures competency of Clinical Documentation Specialist staff by conducting on-going reviews and skills assessments; provides action… more