- Highmark Health (Helena, MT)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of...or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned… more
- UPMC (Pittsburgh, PA)
- …other departments. **Licensure, Certifications, and Clearances:** (Preferred) + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) + Certified ... efficiency in claims processing, data collection, and quality reporting. + **Post- Audit Training:** Conduct post- audit compliance training sessions for… more
- Sharp HealthCare (San Diego, CA)
- …for ACM or CCM. **Essential Functions** + Collaboration and TeamworkProvides Sr. Specialist Inpatient Care Management support for ICM programs, initiatives, and ... the position, and employer business practices. **What You Will Do** The Sr Specialist Integrated Care Management is a key member of the Integrated Care Management… more
- UPMC (Pittsburgh, PA)
- …Certifications, and Clearances:** One of the following is required: + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) + Certified Evaluation ... laws, regulations, and policies. . **Reporting:** Prepare written reports of audit results, including recommendations for improvement and compliance with state and… more
- Billings Clinic (Billings, MT)
- …codes for statistical and reimbursement purposes for all Billings Clinic inpatient and outpatient services. Alternatively, since Billings Clinic is an integrated ... and reimbursement. * Maintains or exceeds 95% coding accuracy based on audit findings. * Maintains or exceeds department productivity standards for assigned areas… more
- Mohawk Valley Health System (Utica, NY)
- …and AAPC. Licensure/Certification Requirements REQUIRED: + CCS Certification (Certified Coding Specialist ), CIC Credential (Certified Inpatient Coder), or CPC ... Coding will manage and oversee a team of coders ( inpatient and outpatient) to ensure effective and efficient coding...effective and efficient coding operations. Also, this role will audit the most complex service records to ensure coding… more
- Baylor Scott & White Health (Montpelier, VT)
- …procedures, day surgery, emergency department, outpatient visits, observation, or inpatient records. Reviews records to validate diagnoses, procedures, modifiers, ... This is apart from those by the BSWH HIM Audit team. All coding must use official guidelines from...position requires one of the following: + Certified Coding Specialist (CCS), or + Certified Coding Specialist -Physician… more
- Covenant Health Inc. (Sevierville, TN)
- …clinic. This job covers both medical records, front desk, charge and documentation audit functions. The Consumer Relations Specialist will possess the knowledge ... Overview Consumer Relation Specialist , Sevier Clinic Full Time, 80 hours per pay period, Day shift Peninsula Overview: Peninsula, a division of Parkwest Medical… more
- OhioHealth (Columbus, OH)
- …Guidelines. They are accountable for the coordination of any new inpatient , outpatient or professional payment methodology impacting coding, abstracting, and ... of guideline for OPG practices. 15% 4. Monitors coder & physician audit results to maintain quality of information at all campuses/practices. Maintains current… more
- Penn Medicine (Lancaster, PA)
- …plans. + Creates collaborative and productive partnerships with primary and specialist physician providers in the designated market. Possess the ability to ... are adhered to consistently. + Works collaboratively with internal audit , compliance, professional billing service, decision support, business development,… more