- Penn Medicine (Bala Cynwyd, PA)
- …HIM, healthcare, or related field (Required) + 2+ years of relevant coding medical professional services experience including ambulatory outpatient and risk ... out-patient medical record documentation to ensure appropriate and correct coding . **Accountabilities:** . Review and interpret patient medical record… more
- Brockton Hospital (West Bridgewater, MA)
- Under the general direction of the Director of Revenue Cycle, provides managerial oversight and technical support for ambulatory coding and charge capture ... functions. Responsible for insuring accurate diagnosis and procedure coding as well as providing documentation and coding related feedback and educational… more
- Emanate Health (Covina, CA)
- …the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the IPA Director , Health Plan, and MSO ... submitted for Medicare and Covered CA lines of business. Coding specialist will be responsible to review medical... Coding specialist will be responsible to review medical records and claims data to ensure external physicians… more
- Beth Israel Lahey Health (Burlington, MA)
- …job, you're making a difference in people's lives.** The Manager of Coding & Clinical Documentation oversees a highly trained Clinical Documentation Specialist (CDS) ... providers and clinical partners to ensure an accurate, complete, and compliant medical record. The Manager leads regional CDI initiatives, ensuring consistency in… more
- Hartford HealthCare (Farmington, CT)
- …rebilling processes. 9. Creates and provides reporting to the Revenue Integrity Director outcomes for resolved issues, status reports, and regular updates pertaining ... regulatory requirements. *_Working Relationships:_* *This Job Reports To:* System Director Revenue Integrity *Nature of Supervision:*This position is responsible for… more
- CVS Health (Austin, TX)
- …day. **Position Summary** Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director . Ready to take your career to the next level with a ... anywhere in the United States. In this role as Medical Director MPO ( Medical Policy...direction in these areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement… more
- CenterWell (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes… more
- Humana (Little Rock, AR)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- Rush University Medical Center (Chicago, IL)
- …Associate Vice President of System Laboratory Services with a dotted line to the Medical Director , Rush Medical Laboratories (RML). The Administrative ... attend these meetings and communicate progress/issues to the AVP and the Laboratory Medical Director ; meet with vendors as necessary to negotiate system… more