- Trinity Health (Fresno, CA)
- …**Description:** **SUMMARY** This position is responsible for training new staff on systems used for coding , as well as, being a resource for all coding staff to ... and analyzing all discharged and/or outpatient surgery records (ie, inpatient , emergency room, outpatient medical and outpatient surgery). **REQUIREMENTS** 1.… more
- St. Luke's University Health Network (Allentown, PA)
- …patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks outcomes ... appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record review. Provides billing… more
- Ansible Government Solutions (Memphis, TN)
- …analyze health records to identify documentation improvement opportunities in both inpatient and outpatient settings + Generate and communicate queries to healthcare ... clinical documentation + Develop the facility's CDI management program encompassing both inpatient and outpatient billable and non-billable services + Focus on … more
- Insight Global (Maitland, FL)
- …leadership experience preferably CDI Inpatient CDI experience Must pass assessment exam at 70% Plusses: Experience with Vizient Epic Iodine Coding background ... the quality and completeness of clinical documentation to ensure accurate coding , patient safety, measurable outcomes, and proper reimbursement. Collaborating with… more
- Northwell Health (Lake Success, NY)
- …risk of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and all commercial payers. ... in the medical record. 2.Facilitates appropriate clinical documentation to support diagnosis coding and ensure the appropriate level of service is recorded. 3.Works… more
- Stony Brook University (East Setauket, NY)
- …not limited to:** + Prepare and submit hospital claims. Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied claims, improper payments ... and coding issues. + Process appeals. + Liaise with third...and/or experience using claims scrubber systems. + Experience with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare… more
- Prime Healthcare (Inglewood, CA)
- …stroke center, orthopedic care, advanced cardiac services, critical care services, inpatient and outpatient rehab programs, and more. Centinela has earned hundreds ... program and database development a plus. 4. Certification as Certified Coding Specialist is required. 5. Knowledge of care delivery documentation systems… more
- AdventHealth (Orlando, FL)
- …health professionals. Maintains a positive and supportive relationship between the inpatient facilities, payors and physicians (hospitalist groups and primary care ... program development. Educate medical staff on correlation between clinical language, coding guidelines, severity of illness, risk of mortality and DRG assignment.… more
- Prime Healthcare (Anaheim, CA)
- …compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, ... is responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records. These reviews are to evaluate whether the clinical… more
- UPMC (Pittsburgh, PA)
- …on-call or weekends! + Responsibilities: Approximately 80% outpatient clinic, 10% inpatient setting, and 80% hospital rounding. Previous APP experience is required. ... focused on outpatient clinics at McCandless and Cranberry, while covering the inpatient consult service at Passavant Cranberry which will be shared with the… more