- Atlantic Health System (NJ)
- …of SOC, ROC and Recertification documentation. Utilizes CRC assessment tool to provide clinical feedback related to OASIS accuracy and POC. 2. Accurately codes chart ... to match patient needs. 5.Provides timely feedback and education to clinical staff regarding OASIS and documentation deficits. Timely notification of manager… more
- Huron Consulting Group (Chicago, IL)
- …systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new ... Collaboration: + Partner closely with internal SME functional leaders (eg, coding , billing, patient access, clinical denials/CDI) to support consistent… more
- University of Utah (Salt Lake City, UT)
- …, HIPAA and IRB regulations; extensive understanding of research procedures. + Experience with Medical Record Coding , familiarity with EMR and medical record ... of Utah School of Medicine has an immediate opening for a Clinical Research Regulatory Coordinator. This position develops and coordinates the submission of… more
- HCA Healthcare (Nashville, TN)
- …the Expanse platform. + Develop and maintain analytics for the areas of clinical outcomes, operations, finance, healthcare coding , people measures, and other ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Cedars-Sinai (Beverly Hills, CA)
- …(sophisticated diagnostic and therapeutic procedures) + Daily follow-up with providers, clinical staff, the Coding department, Billing Compliance, and Revenue ... Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We also were awarded...Under the general direction of the Manger or Associate Director , the Revenue Auditor Service Line performs audits of… more
- Sharp HealthCare (San Diego, CA)
- …for medical necessity are issued under the direction of the Medical Director or designee.Assists with transfers, when necessary. + Demonstrates knowledge ... or services, readmissions to acute or visit to the Emergency Department.Informs Director , QI/UM of any quality issues.Attends hospitalists rounds, as required, to… more
- Southwest Nursing Center (Fort Worth, TX)
- …Minimum Data Set, discharge and admission tracking, etc. With direction from the Director of Nursing and VP of Clinical Reimbursement, may coordinate information ... systems operations and education for the clinical department. Principal Responsibilities * Works in collaboration with...for all residents; ensures documentation is present in the medical record to support MDS coding . *… more
- Guthrie (PA)
- …the supervision of clinical coders who perform compliance audits of clinical documentation, coding , and billing. Education, License & Cert: Bachelor's ... Position Summary: Working with the Senior Director to develop, implement, and monitor an enterprise‐wide...in a health care organization * Experience in conducting coding and compliance audits and developing corrective action plans… more
- US Tech Solutions (Columbia, SC)
- …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of ... appeals requests using Medicare criteria. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical … more
- UPMC (Pittsburgh, PA)
- …external audits, compliance and safety training (OSHA).Organize and oversee staffing of clinical sites with attending physician and Director of Operations. ... leader in cardiovascular care, with a rich history in clinical research and innovation. Join Us! If you're ready...in the future + Health and welfare benefits like medical , vision, dental, and life and disability, and an… more