- Datavant (Nashville, TN)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... medical necessity and necessity of continued stay in the inpatient patient care setting and/or discharge to an alternative...Regulations, URAC and NCQA preferred + ICD10 and CPT coding a plus + Experienced computer skills, Word, Excel,… more
- Datavant (Little Rock, AR)
- …healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal role in elevating the impact of ... + Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. + Collaborate with… more
- Albany Medical Center (Albany, NY)
- …Shift: Day (United States of America) Salary Range: $71,612.39 - $110,999.20 This CDI Specialist opening is located at Glens Falls Hospital. The CDI Specialist ... Certification such as CDIP or CCDS preferred + Valid Coding certification such as CCA or CCS preferred +...disease processes and broad clinical practice experience in the inpatient and outpatient settings required + CDI experience preferred… more
- Northern Light Health (Presque Isle, ME)
- …timely. They assist with insurance prior authorizations. The role of the referral specialist is critical to assure that every patient receives the definitive care ... that they need. A major role of the Referral Specialist is to communicate progress of referrals to patients,...following Policy and Procedures. + Maintains working knowledge of inpatient vs. outpatient procedures and CPT codes. + Maintains… more
- University of Virginia (Charlottesville, VA)
- The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' ... accurately portrayed in the medical record for specificity of coding and increased coding accuracy. They provide...+ Responsible for the day to day evaluation of inpatient documentation in accordance with the Clinical Documentation Program… more
- State of Minnesota (Anoka, MN)
- **Working Title: Health Information Specialist ** **Job Class: Office and Administrative Specialist , Intermediate** **Agency: Direct Care and Treatment** + **Job ... team for an exciting opportunity as a Health Information Specialist ! This position will work closely with facility staff...requests for medical records for admissions and discharge for inpatient and outpatient programs + Manage data collection of… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …to staff occupational therapist by mentoring, teaching, assistance to outpatient, inpatient and spinal cord unit occupational therapy staff in specialized area ... care provided. This includes understanding and practicing documentation and coding practices for appropriate billing. Accurately maintains documentation in keeping… more
- University of Southern California (Newport Beach, CA)
- The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient ... clinic, inpatient admission, ancillary services and/or chemotherapy and other infused...infused treatments as needed in assigned service line. The Specialist will be instrumental in obtaining written documentation, submitting… 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
- Billings Clinic (Billings, MT)
- …to learn more! Surgical Care Specialist - Women's Health UROGYNECOLOGY (Billings ... specialty patient populations needing across the continuum of care for both inpatient and outpatient services; scheduling and coordination of cases and assuming a… more