- Mount Sinai Health System (Elmhurst, NY)
- …timely and complaint manner. Work with the Faculty Practice Group Compliance Manager and Administrator to ensue all FPG revenue is captured. **Qualifications** ... High School Diploma. Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT 4 coding certification obtained by completion of a certificate course with CPC /… more
- Molina Healthcare (NE)
- …appropriateness of services provided, length of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct ... coding , to ensure appropriate reimbursement to providers. + Resolves...(DRG) validation, itemized bill review, appropriate level of care, inpatient readmission, and any opportunities identified by the payment… more
- Dayton Children's Hospital (Dayton, OH)
- …OhioDepartment:HIM - Hospital CodingSchedule:Full timeHours:40Job Details:Under general supervision of the Coding Manager , the Coding Analyst supports Dayton ... goals for reimbursement through accurate and timely diagnosis and procedural coding of emergency department, specialty clinic, inpatient , observation, outpatient… more
- Beth Israel Lahey Health (Burlington, MA)
- …and accurate and complete medical record documentation. Exhibits working knowledge of inpatient coding guidelines. Adheres to CDI convention and department ... of Illness (SOI), Risk of Morality (ROM), during an inpatient hospitalization. CDI Specialist RN initiates concurrent queries to...CDI Specialist RN works under the direction of the Manager of CDI and collaborates with coding ,… more
- Children's Mercy Kansas City (Kansas City, MO)
- …the electronic charge capture process for all assigned clinical departments per coding compliance and CMH charge capture protocols by proactively identify charge ... ensure compliance with CMH charge capture protocols. + Provide oversight for coding /billing for assigned areas within Revenue Cycle by working with designated staff… more
- Beth Israel Lahey Health (Charlestown, MA)
- …the medical record. The CDI Specialist II works under the direction of the Manager of CDI and collaborates with coding , clinicians, medical staff, and physician ... including Severity of Illness (SOI), Risk of Mortality (ROM), during an inpatient hospitalization. CDI Specialist II initiates concurrent queries to providers as… more
- Trinity Health (Albany, NY)
- …Avenue, Albany, NY. Searching for a motivated medical biller for our orthopedics team. Coding a plus but not needed. Insurance knowledge a must. Position reports to ... operation of a medical practice. Medical billing/insurance background a must. Coding not required but a plus. **Responsibilities:** + Responsible to monitor… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 11/13/2025 **Requisition Number** PRN43591B **Job Title** Manager , Audit **Working Title** Regulatory Compliance Administrator - Hybrid/Remote ... of Compliance Managers and administrative staff. Conducts scheduled and unscheduled inpatient , outpatient, and professional audits and projects related to billing… more
- Hartford HealthCare (Hartford, CT)
- …state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional, facility ( inpatient and outpatient), ... of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The...Revenue Compliance Work Plan or as requested by the Manager or Director. . Maintains organized files to support… more
- CenterWell (Boston, MA)
- …care facilitation with hospitals. The clinical scenarios predominantly arise from inpatient or post-acute care environments. There are discussions with external ... An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes,...or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare… more