- Penn Medicine (Philadelphia, PA)
- …discussion to instruct the clinical teams in appropriate documentation as suggested by CMS coding guidelines and to ensure that the clinical chart is the true and ... and offer direction to primary care staff w regard to changes in coding practices and noted trends noted in team documentation requiring clarity and/or specification… more
- UNC Health Care (Hendersonville, NC)
- …is responsible for determining charges for outpatient departments of the hospital, inpatient , split bill and hybrid clinics. Also responsible for Pardee Urgent Care ... charges and coding . Works collaboratively with members of Patient Financial Services,...Maintains understanding of modifiers required for professional and hospital coding . Participates in continuing education opportunities to understand charging… more
- UTMB Health (Galveston, TX)
- …Management + Care Transitions and Hospital Follow-Up **Hospital Medicine and Inpatient Services:** + Academic Hospitalist Service + Direct Care Hospitalist Service ... with their appointment. **Clinical Responsibilities** **Hospital Medicine (for faculty with inpatient focus):** + Provide attending coverage or direct patient care… more
- LA Care Health Plan (Los Angeles, CA)
- …of ICD, Rev Code, CPT, HCPCs, APR, DRG, POA, and all relevant coding elements. Audits can include inpatient , outpatient, and professional claims. Serves ... III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies… more
- Martin's Point Health Care (Portland, ME)
- …efficient medical outcomes for those enrollees with a need for inpatient / outpatient authorizations. This position receives and reviews prior authorization requests ... for specific inpatient and outpatient medical services, notification of emergent hospital...of medical claims disputes, records, and authorizations for billing, coding , and other compliance or reimbursement related issues +… more
- University of Washington (Seattle, WA)
- …and understanding the complexities of multiple clinical settings including 3 different inpatient and 17+ different ambulatory sites as well as different provider ... + Auditing and monitoring provider clinical productivity, tracking billing, revenue, and coding trends with an eye for potential errors and opportunities for… more
- Hartford HealthCare (Farmington, CT)
- …1 is responsible for extensive record review, and interaction with physicians, HIM coding professionals, nursing staff and other patient care givers to ensure the ... . Meets program quality and productivity guidelines and standards. . Participates in Coding /CDI meetings and CDI H3W work group. . Inputs review workflows and… more
- St. Luke's University Health Network (Allentown, PA)
- …for validation of RVUs and CPT-4 procedure unbundling. + Maintains a 95% coding accuracy rate as measured through quality reviews. + Maintains daily productivity as ... outlined + Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient , observation,… more
- University of Miami (Miami, FL)
- …2 position is responsible for the performance of advanced technical work in coding and qualitative analysis of medical records for all patients diagnosed, seen or ... and the National Cancer Data Base (NCDB) guidelines. Assures compliance of coding rules and regulations according to regulatory agencies Florida Cancer Data System… more
- Dayton Children's Hospital (Dayton, OH)
- …goals for reimbursement through accurate and timely diagnosis and procedural coding of emergency department, specialty clinic, inpatient , observation, outpatient ... - Hospital CodingSchedule:Full timeHours:40Job Details:Under general supervision of the Coding Manager, the Coding Analyst supports Dayton Children's… more